§ 695G.241 Circumstances under which adverse determination may be subject to external review; exceptions
§ 695G.243 Applicability
§ 695G.245 Written notice of right to request external review; form; contents
§ 695G.247 Requests for external review to be in writing; exception; form and content
§ 695G.251 Request for review; assignment of independent review organization; provision of documents relating to adverse determination to independent review organization
§ 695G.261 Review of documents by independent review organization; decision of independent review organization
§ 695G.271 Expedited approval or denial of request
§ 695G.275 Experimental or investigational health care service or treatment: Request for external review; request for expedited external review
§ 695G.280 Basis for decision of independent review organization
§ 695G.290 Decision in favor of covered person binding on health carrier; limitation of liability; cost for independent review organization
§ 695G.300 Submission of complaint of covered person to independent review organization
§ 695G.303 Independent review organization and health carrier required to maintain written records; submission of report upon request
§ 695G.307 Health carrier required to provide description of external review procedures; format; contents
§ 695G.310 Annual report; requirements
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Terms Used In Nevada Revised Statutes > Chapter 695G > External Review of Adverse Determination

  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
  • 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.
  • person: means a natural person, any form of business or social organization and any other nongovernmental legal entity including, but not limited to, a corporation, partnership, association, trust or unincorporated organization. See Nevada Revised Statutes 0.039
  • physician: means a person who engages in the practice of medicine, including osteopathy and homeopathy. See Nevada Revised Statutes 0.040
  • Trial: A hearing that takes place when the defendant pleads "not guilty" and witnesses are required to come to court to give evidence.
  • Uphold: The decision of an appellate court not to reverse a lower court decision.