Nev. Admin. Code § 695C.235 - System for resolving complaints of enrollees of health maintenance organizations: Annual report
1. A health
maintenance organization shall submit its annual report regarding its system
for resolving complaints as required pursuant to
NRS 695C.260 and
695G.220
on or before June 1 of each year. The health maintenance organization shall
retain a copy of the annual report for at least 3 years or until the next
examination conducted by the Division, whichever is longer.
2. The health maintenance organization is not
required to include in the annual report information concerning an oral inquiry
by an enrollee relating to a misunderstanding or miscommunication if the
misunderstanding or miscommunication was resolved within 1 working day after
the inquiry was made. If the misunderstanding or miscommunication was not
resolved within 1 working day, the health maintenance organization shall report
it as a complaint in the annual report.
Notes
NRS 679B.130, 695C.260
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