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Current as of January 01, 2024 | Updated by Findlaw Staff
(1) A health carrier shall maintain in a grievance register written records to document all grievances received during a calendar year. A request for a review of an adverse determination shall be processed in compliance with section 44-7308 but not considered a grievance for purposes of the grievance register unless such request includes a written grievance. For each grievance required to be recorded in the grievance register, the grievance register shall contain, at a minimum, the following information:
(a) A general description of the reason for the grievance;
(b) Date received;
(c) Date of each review or hearing;
(d) Resolution of the grievance;
(e) Date of resolution; and
(f) Name of the covered person for whom the grievance was filed.
(2) The grievance register shall be maintained in a manner that is reasonably clear and accessible to the director. A grievance register maintained by a health maintenance organization shall also be accessible to the Department of Health and Human Services.
(3) A health carrier shall retain the grievance register compiled for a calendar year for the longer of three years or until the director has adopted a final report of an examination that contains a review of the grievance register for that calendar year.
Cite this article: FindLaw.com - Nebraska Revised Statutes Chapter 44. Insurance § 44-7306. Grievance register - last updated January 01, 2024 | https://codes.findlaw.com/ne/chapter-44-insurance/ne-rev-st-sect-44-7306/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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