NRS 695G.080 “Utilization review” defined.
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NRS 695G.080 “Utilization review” defined.
1. “Utilization review” means the various methods that may be used to review the amount and appropriateness of the provision of a specific health care service.
2. The term does not include an external review of an adverse determination conducted pursuant to NRS 695G.241 to 695G.310 , inclusive.