695G.300 - Submission of complaint of insured to external review organization. - Nevada Statutes

695G.300  Submission of complaint of insured to external review organization.  In lieu of resolving a complaint of an insured in accordance with a system for resolving complaints established pursuant to the provisions of NRS 695G.200, a managed care organization may:

      1.  Submit the complaint to an external review organization pursuant to the provisions of NRS 695G.241 to 695G.310, inclusive; or

      2.  If a federal law or regulation provides a procedure for submitting the complaint for resolution that the Commissioner determines is substantially similar to the procedure for submitting the complaint to an external review organization pursuant to NRS 695G.241 to 695G.310, inclusive, submit the complaint for resolution in accordance with the federal law or regulation.

      (Added to NRS by 2003, 782)