Section 695G.100 - Requirements for approvalTo obtain approval of a system for resolving complaints of insureds from the Commissioner as required pursuant to NRS 695G.200, a managed care organization must:
1. Demonstrate that the system will include the external review of a final adverse determination.2. Submit to the Division:(a) The name and title of the employee responsible for the system;(b) A description of the procedure used to notify an insured of the decision regarding his complaint; and(c) A copy of the explanation of rights and procedures which is to be provided to insureds pursuant to NRS 695G.230.Nev. Admin. Code § 695G.100
Added to NAC by Comm'r of Insurance by R132-98, eff. 3-30-99; A by R132-03, 4-16-2004