§ 44-1301 Act, how cited
§ 44-1302 Purpose of act
§ 44-1303 Terms, defined
§ 44-1304 Applicability of act
§ 44-1305 Health carrier; covered person; notification; when; written notice; contents; health carrier; duties
§ 44-1306 Request for external review
§ 44-1307 Request for external review; exhaustion of internal grievance process; request for expedited external review of adverse determination; independent review organization; duties
§ 44-1308 Request for external review; filing; director; duties; health carrier; duties; preliminary review; contents; director; powers; notice of initial determination; contents; independent review organization; powers; duties; decision; notice; contents
§ 44-1309 Request for expedited external review;director; duties; health carrier; duties; notice of initial determination;contents; expedited external review; independent review organization; powers;duties; decision; notice; contents
§ 44-1310 Review of denial of coverage forservice or coverage determined experimental or investigational; external review;expedited external review; director; duties; health carrier; duties; noticeof initial determination; contents; appeal; clinical reviewer; dutie
§ 44-1311 External review decision; how treated;limitation on subsequent request
§ 44-1312 Independent review organizations;approval; qualifications; application; contents; fee; termination of approval;director; powers and duties
§ 44-1313 Independent review organization;minimum qualifications; clinical reviewers; qualifications; limitation onownership or control; conflict of interests; presumption of compliance; director;powers; duties
§ 44-1314 Liability for damages
§ 44-1315 Records; report; contents
§ 44-1316 Health carrier; cost
§ 44-1317 Health carrier; disclosure; format;contents
§ 44-1318 Applicability of act

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Terms Used In Nebraska Statutes > Health Carrier External Review Act

  • Action: shall include any proceeding in any court of this state. See Nebraska Statutes 49-801
  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Codicil: An addition, change, or supplement to a will executed with the same formalities required for the will itself.
  • Common law: The legal system that originated in England and is now in use in the United States. It is based on judicial decisions rather than legislative action.
  • Company: shall include any corporation, partnership, limited liability company, joint-stock company, joint venture, or association. See Nebraska Statutes 49-801
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
  • Department: shall mean the Department of Insurance. See Nebraska Statutes 44-103
  • Director: shall mean the Director of Insurance. See Nebraska Statutes 44-103
  • Donor: The person who makes a gift.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Gift: A voluntary transfer or conveyance of property without consideration, or for less than full and adequate consideration based on fair market value.
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Person: shall include bodies politic and corporate, societies, communities, the public generally, individuals, partnerships, limited liability companies, joint-stock companies, and associations. See Nebraska Statutes 49-801
  • Person shall: include bodies politic and corporate, societies, communities, the public generally, individuals, partnerships, limited liability companies, joint-stock companies, and associations. See Nebraska Statutes 49-801
  • Power of attorney: A written instrument which authorizes one person to act as another's agent or attorney. The power of attorney may be for a definite, specific act, or it may be general in nature. The terms of the written power of attorney may specify when it will expire. If not, the power of attorney usually expires when the person granting it dies. Source: OCC
  • Process: shall mean a summons, subpoena, or notice to appear issued out of a court in the course of judicial proceedings. See Nebraska Statutes 49-801
  • Revocable trust: A trust agreement that can be canceled, rescinded, revoked, or repealed by the grantor (person who establishes the trust).
  • State: when applied to different states of the United States shall be construed to extend to and include the District of Columbia and the several territories organized by Congress. See Nebraska Statutes 49-801
  • Statute: A law passed by a legislature.
  • Trial: A hearing that takes place when the defendant pleads "not guilty" and witnesses are required to come to court to give evidence.
  • Trustee: A person or institution holding and administering property in trust.
  • United States: shall include territories, outlying possessions, and the District of Columbia. See Nebraska Statutes 49-801
  • Uphold: The decision of an appellate court not to reverse a lower court decision.
  • Year: shall mean calendar year. See Nebraska Statutes 49-801