External Review
/ɪkˈstɜːrnəl rɪˈvjuː/
Definitions
- (n.) A process by which a decision or action is examined and potentially reversed or modified by an independent, external authority.
The insured requested an external review after the insurer denied her claim.
- (n.) In administrative and insurance law, a review conducted outside the original decision-making entity to ensure fairness and compliance with legal standards.
External review panels provide an impartial assessment of disputes between patients and health plans.
Forms
- external review
- external reviews
Related terms
See also
Commentary
External review mechanisms are critical safeguards in administrative and insurance law, offering a neutral reassessment distinct from internal processes.
This glossary is for general informational and educational purposes only. Definitions are jurisdiction-agnostic but reflect terminology and concepts primarily drawn from English and American legal traditions. Nothing herein constitutes legal advice or creates a lawyer-client relationship. Users should consult qualified counsel for advice on specific matters or jurisdictions.