1. Each managed care organization shall submit to the Commissioner an annual report regarding its system for resolving complaints established pursuant to NRS 695G.200 on a form prescribed by the Commissioner which includes, without limitation:
- (a) A description of the procedures used for resolving complaints of an insured;
- (b) The total number of complaints and appeals handled through the system for resolving complaints since the last report and a compilation of the causes underlying the complaints filed;
- (c) The current status of each complaint and appeal filed; and
- (d) The average amount of time that was needed to resolve a complaint and an appeal, if any.
- 2. Each managed care organization shall maintain records of complaints filed with it which concern something other than health care services and shall submit to the Commissioner a report summarizing such complaints at such times and in such format as the Commissioner may require.
(Added to NRS by 1997, 306; A 2013, 3655; 2017, 2402)