Current through 82nd (2023) Legislative Session Chapter 535 and 34th (2023) Special Session Chapter 1 and 35th (2023) Special Session Chapter 1
Section 695G.220 - Annual report; managed care organization required to maintain records of and report complaints concerning something other than health care services1. Each managed care organization shall submit to the Commissioner an annual report regarding its system for resolving complaints established pursuant to NRS 695G.200 on a form prescribed by the Commissioner which includes, without limitation: (a) A description of the procedures used for resolving complaints of an insured;(b) The total number of complaints and appeals handled through the system for resolving complaints since the last report and a compilation of the causes underlying the complaints filed;(c) The current status of each complaint and appeal filed; and(d) The average amount of time that was needed to resolve a complaint and an appeal, if any.2. Each managed care organization shall maintain records of complaints filed with it which concern something other than health care services and shall submit to the Commissioner a report summarizing such complaints at such times and in such format as the Commissioner may require.Added to NRS by 1997, 306; A 2013, 3655; 2017, 2402Amended by 2017, Ch. 376,§161, eff. 7/1/2017.Amended by 2013, Ch. 541,§117, eff. 6/12/2013 for the purpose of adopting regulations; and on 1/1/2014 for all other purposes.Added to NRS by 1997, 306