Nebraska Statutes 44-1311. External review decision; how treated;limitation on subsequent request
Current as of: 2023 | Check for updates
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(1) An external review decision is binding on the health carrier except to the extent the health carrier has other remedies available under applicable state law.
Terms Used In Nebraska Statutes 44-1311
- Person: shall include bodies politic and corporate, societies, communities, the public generally, individuals, partnerships, limited liability companies, joint-stock companies, and associations. See Nebraska Statutes 49-801
- State: when applied to different states of the United States shall be construed to extend to and include the District of Columbia and the several territories organized by Congress. See Nebraska Statutes 49-801
(2) An external review decision is binding on the covered person except to the extent the covered person has other remedies available under applicable federal or state law.
(3) A covered person or the covered person’s authorized representative, if applicable, shall not file a subsequent request for external review involving the same adverse determination or final adverse determination for which the covered person has already received an external review decision pursuant to the Health Carrier External Review Act.