LegalFix
Sign In

NRS 695G.220 - Annual report; managed care organization to maintain records of complaints concerning something other than health care services.

NV Rev Stat § 695G.220 (2019) (N/A)
Copy with citation
Copy as parenthetical citation

1. 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, 2402)

Previous Section
NRS 695G.210 - Review board; appeal; right to expedited review of complaint; notice to insured.
Next Section
NRS 695G.230 - Written notice to insured explaining rights of insureds regarding decision to deny coverage; notice to insured when health carrier denies coverage of health care service.