44-7306 Grievance register. - Nebraska Statutes

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Statutes > Nebraska > Chapter44 > 44-7306

44-7306. Grievance register.(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 first-level 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. A request for a second-level review of an adverse determination shall be considered a grievance for purposes of the grievance register. 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 at each level of the grievance;(e) Date of resolution at each level; 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. SourceLaws 1998, LB 1162, § 71; Laws 2007, LB296, § 201.

State Codes and Statutes

Statutes > Nebraska > Chapter44 > 44-7306

44-7306. Grievance register.(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 first-level 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. A request for a second-level review of an adverse determination shall be considered a grievance for purposes of the grievance register. 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 at each level of the grievance;(e) Date of resolution at each level; 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. SourceLaws 1998, LB 1162, § 71; Laws 2007, LB296, § 201.

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State Codes and Statutes

Statutes > Nebraska > Chapter44 > 44-7306

44-7306. Grievance register.(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 first-level 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. A request for a second-level review of an adverse determination shall be considered a grievance for purposes of the grievance register. 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 at each level of the grievance;(e) Date of resolution at each level; 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. SourceLaws 1998, LB 1162, § 71; Laws 2007, LB296, § 201.