NRS 695F.230
Establishment of system for resolution of complaints.

1.

Each prepaid limited health service organization shall establish a system for the resolution of written complaints submitted by enrollees and providers.

2.

The provisions of subsection 1 do not prohibit an enrollee or provider from filing a complaint with the Commissioner or limit the Commissioner’s authority to investigate such a complaint.

3.

Each prepaid limited health service organization that issues any evidence of coverage that provides, delivers, arranges for, pays for or reimburses any cost of health care services through managed care shall provide a system for resolving any complaints of an enrollee or subscriber concerning those health care services that complies with the provisions of NRS 695G.200 to 695G.310, inclusive.

REGULATION AND ENFORCEMENT

Source: Section 695F.230 — Establishment of system for resolution of complaints., https://www.leg.state.nv.us/NRS/NRS-695F.html#NRS695FSec230.

695F.150
Evidence of coverage: Issuance 695F.151
Requirements regarding issuance of health benefit plans and adjustment of costs. 695F.153
Coverage for prescription drugs: Provision of notice and information regarding use of formulary. 695F.156
Coverage for prescription drug previously approved for medical condition of enrollee. 695F.160
Rates and charges: Reasonableness. 695F.170
Procedure for modification of rates, charges, benefits, organization, operations, documents or services. 695F.180
Investments. 695F.190
Requirements for reserve. 695F.200
Maintenance of capital account, surety bond or deposit and risk-based capital 695F.210
Maintenance of fidelity bond or deposit in lieu of bond. 695F.212
Hazardous financial condition: Regulations 695F.215
Required contract with insurance company for provision of insurance, indemnity or reimbursement against cost of health care services. 695F.220
Contract between organization and provider or subcontractor for provision of services to enrollees. 695F.230
Establishment of system for resolution of complaints.

Last Updated

Jun. 24, 2021

§ 695F.230’s source at nv.us

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Location: https://nevada.public.law/statutes/nrs_695f.230

Original Source: Section 695F.230 — Establishment of system for resolution of complaints., https://www.leg.state.nv.us/NRS/NRS-695F.html#NRS695FSec230 (last accessed Jun. 24, 2021).