A health carrier requested by the director to prepare a report regarding requests for external review under Neb. Rev. Stat.44-1315(2)shall provide the report in the form in Appendix D, hereby made a part of this regulation. The health carrier may provide the report in a form substantially similar to the form in Appendix D, if the form of such report has been reviewed and approved by the Director.
210 Neb. Admin. Code, ch. 87, § 006