210 Neb. Admin. Code, ch. 87, § 007 - Description of External Review Procedures
007.01 Each health
carrier shall include a description of the external review procedures in or
attached to all health coverage plan materials dealing with the carrier's
grievance procedures including but not limited to the policy, certificate,
membership booklet, outline of coverage or other evidence of coverage it
provides to covered persons as required by Neb. Rev.
Stat.
§
44-1317.
007.02 The description required under
subsection 007.01 shall include a notification of the availability of an
external review process, the circumstances under which a covered person may use
the external review process, the procedures for requesting an external review,
and the timelines associated with an external review. The description shall
appear in 10 point font.
Notes
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