210 Neb. Admin. Code, ch. 87, § 007

Current through September 17, 2024
Section 210-87-007 - 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.

210 Neb. Admin. Code, ch. 87, § 007