44-7306. Grievance register.
204 words·~1 min read·
/ne/chapter-44/44-7306A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
(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 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. 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 of the grievance;
(e)Date of resolution; 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.