NRS 695G.241
External review of adverse determination.

or 695G.275, for the purposes of NRS 695G.200 to 695G.310, inclusive, an adverse determination may be subject to an external review:

1.

If a covered person exhausts all procedures set forth in the health care plan for reviewing the adverse determination within the health carrier and the health carrier fails to render a decision within the period required to render that decision set forth in the health care plan; or

2.

If the health carrier allows the covered person to submit the adverse determination to the independent review organization without requiring the covered person to exhaust all procedures set forth in the health care plan for reviewing the adverse determination within the health carrier.

Source: Section 695G.241 — External review of adverse determination., https://www.­leg.­state.­nv.­us/NRS/NRS-695G.­html#NRS695GSec241 (accessed May 26, 2025).

May 26, 2025

§ 695G.241. External review of adverse determination.'s source at nv​.us