Nevada Revised Statutes Title 57. Insurance § 695G.160. Written criteria concerning coverage of health care services and standards for quality of health care services

(a) Setting forth the manner in which it determines whether to authorize coverage of a health care service; and

(b) Setting forth its method for reviewing standards for the quality of health care services provided to an insured.

(a) Developed with the assistance of practicing providers of health care;

(b) Developed using generally recognized and, if appropriate, specialized clinical principles and processes;

(c) Reviewed at least one time each year and, if appropriate, updated; and

(d) Made available to an insured for review upon request of the insured any time that the managed care organization denies coverage of a specific health care service to the insured.