Establishment of system for resolving complaints and system for conducting external review of adverse determinations required.

NRS 695C.260 Establishment of system for resolving complaints and system for conducting external review of adverse determinations required. Each health maintenance organization shall establish: 1. A system for resolving complaints which complies with the provisions of NRS 695G.200 to 695G.230, inclusive; and 2. A system for conducting external reviews of adverse determinations that complies with the provisions of NRS 695G.241 to 695G.310, inclusive. (Added to NRS by 1973, 1253; A 1997, 311; 2003, 778; 2011, 3395)