1. An independent review organization must be approved by the Commissioner to be eligible to be assigned to conduct external reviews.
2. In order to be eligible for approval or reapproval by the Commissioner to conduct external reviews, an independent review organization:
(a) Except as otherwise provided in this section, must be accredited by a nationally recognized private accrediting entity which the Commissioner has determined has standards for the accreditation of independent review organizations that are equivalent to or exceed the minimum qualifications for independent review organizations established under NRS 683A.372; and
(b) Must submit an application in accordance with subsection 4.
3. The Commissioner shall develop an application form for the initial approval and reapproval of an independent review organization to conduct external reviews.
4. An independent review organization wishing to be approved or reapproved to conduct external reviews must submit the application form and include with the form all documentation and information necessary for the Commissioner to determine if the independent review organization satisfies the minimum qualifications established under NRS 683A.372.
5. The Commissioner may approve an independent review organization that is not accredited by a nationally recognized private accrediting entity if there are no acceptable nationally recognized private accrediting entities providing accreditation of independent review organizations.
6. The Commissioner may charge any applicable fee which an independent review organization must submit to the Commissioner with its application for initial approval or reapproval.
7. An approval or reapproval is effective for 2 years unless the Commissioner determines before its expiration that the independent review organization does not satisfy the minimum qualifications established under NRS 683A.372.
8. Whenever the Commissioner determines that an independent review organization has lost its accreditation or no longer satisfies the minimum requirements established under NRS 683A.372, the Commissioner shall terminate the approval of the independent review organization and remove the independent review organization from the list of independent review organizations approved to conduct external reviews that is maintained by the Commissioner pursuant to subsection 9.
9. The Commissioner shall maintain and periodically update a list of approved independent review organizations.
10. The Commissioner may adopt regulations to carry out the provisions of this section.
11. As used in this section, "independent review organization" has the meaning ascribed to it in NRS 695G.026.
(Added to NRS by 2011, 3353)
Structure Nevada Revised Statutes
Chapter 683A - Persons Involved in Sale or Administration of Insurance
NRS 683A.025 - "Administrator" defined.
NRS 683A.031 - "Business organization" defined.
NRS 683A.041 - "Home state" defined.
NRS 683A.051 - "License" defined.
NRS 683A.060 - "Managing general agent" defined.
NRS 683A.065 - "Negotiate" defined.
NRS 683A.072 - "Sell" defined.
NRS 683A.074 - "Solicit" defined.
NRS 683A.076 - "Terminate" defined.
NRS 683A.078 - "Uniform application" defined.
NRS 683A.081 - "Affiliate" defined.
NRS 683A.082 - "Control" defined.
NRS 683A.083 - "Insurer" defined.
NRS 683A.084 - "Underwrite" defined.
NRS 683A.085 - Qualifications.
NRS 683A.08522 - Certificate of registration: Contents of application.
NRS 683A.08526 - Certificate of registration: Duration; expiration; renewal.
NRS 683A.08528 - Annual report: Requirements; review by Commissioner.
NRS 683A.0853 - Waiver of requirements for administrator’s certificate.
NRS 683A.0857 - Bond: Requirement; amount; conditions; replacement.
NRS 683A.0863 - Payments to administrator.
NRS 683A.088 - Payment of claims by check or draft.
NRS 683A.0883 - Basis for compensation of administrator.
NRS 683A.089 - Delivery to insureds of communications of insurer.
NRS 683A.0893 - Penalty for acting without certificate of registration.
NRS 683A.090 - License required; administrative fine.
NRS 683A.172 - "Covered person" defined.
NRS 683A.173 - "Pharmacy" defined.
NRS 683A.174 - "Pharmacy benefit manager" defined.
NRS 683A.175 - "Pharmacy benefits plan" defined.
NRS 683A.1815 - "Facility" defined.
NRS 683A.182 - "Occupant" defined.
NRS 683A.1823 - "Owner" defined.
NRS 683A.1826 - "Personal property" defined.
NRS 683A.1828 - "Personal property storage insurance" defined.
NRS 683A.183 - "Rental agreement" defined.
NRS 683A.1835 - "Storage space" defined.
NRS 683A.1837 - "Supervising entity" defined.
NRS 683A.185 - Examination or education not required to receive or renew license.
NRS 683A.1855 - Restrictions relating to sales and coverage; rates to be filed with Commissioner.
NRS 683A.1875 - Employee or authorized representative may act for licensee.
NRS 683A.193 - "Offer and disseminate" defined.
NRS 683A.195 - "Producer of limited lines travel insurance" defined.
NRS 683A.197 - "Travel insurance" defined.
NRS 683A.199 - "Travel retailer" defined.
NRS 683A.201 - License required; exemption for insurers; administrative fine.
NRS 683A.211 - Persons exempt from licensing.
NRS 683A.231 - Licensing of bank.
NRS 683A.265 - Licensing of producer of limited lines travel insurance.
NRS 683A.281 - Nonresident licensees: Service of process; agreement to appear.
NRS 683A.301 - Use of true or fictitious name by applicant for license or licensee.
NRS 683A.311 - Temporary licenses: Authority of Commissioner to issue, limit or revoke; expiration.
NRS 683A.325 - Commissions and compensation.
NRS 683A.351 - Records of transactions: Maintenance; examination by Commissioner; destruction.
NRS 683A.369 - Travel retailers: Authorized scope of activities.
NRS 683A.3693 - Travel retailers: Prohibited activities.
NRS 683A.3695 - Travel retailers: Required written disclosures.
NRS 683A.372 - Approval to conduct external reviews: Minimum qualifications; conflicts of interest.
NRS 683A.373 - Submission of annual list to Office for Consumer Health Assistance.
NRS 683A.451 - Authority of Commissioner; grounds for action.