In lieu of resolving a complaint of a covered person in accordance with a system for resolving complaints established pursuant to the provisions of NRS 695G.200, a health carrier may:

Terms Used In Nevada Revised Statutes 695G.300

  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • person: means a natural person, any form of business or social organization and any other nongovernmental legal entity including, but not limited to, a corporation, partnership, association, trust or unincorporated organization. See Nevada Revised Statutes 0.039

1.  Submit the complaint to an independent 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 independent review organization pursuant to NRS 695G.241 to 695G.310, inclusive, submit the complaint for resolution in accordance with the federal law or regulation.

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