Neb. Rev. St § 44-6829 (1)
September 10, 2025 11:02 pm(1) A health carrier which provides a covered benefit for emergency services is, subject to the terms and conditions of... View more
Archives
Neb. Rev. St § 44-6829 (2)
September 10, 2025 11:07 pm(2) If a treating physician or other emergency department personnel who have provided emergency services to a covered person determine... View more
Neb. Rev. St § 44-7308 (1,3)
September 10, 2025 11:03 pm(1) If a covered person makes a request to a health carrier for a health care service and the request... View more
Neb. Rev. St 44-7311 (1)(2) Expedited reviews.
September 10, 2025 11:19 pmNeb. Rev. St 44-7311 (1) (2) Expedited reviews which result in an adverse determination shall be evaluated by an appropriate... View more
Neb. Rev. St. § 44-8004 (1-4)
September 10, 2025 11:10 pm(1) A clean claim shall be paid, denied, or settled within thirty calendar days after receipt by the insurer if... View more
Neb. Rev. St. § 44-8005 (1)
September 10, 2025 10:33 pm(1) An insurer that fails to pay, deny, or settle a clean claim in accordance with the time periods set... View more
Neb. Rev. St. § 44-8005 (2)
September 10, 2025 10:34 pm(2) To the extent that interest is not paid concurrently with the claim, it may be paid on a quarterly... View more
NJ Admin Code § 11:24-8.3(c)(1)(i)
October 15, 2021 5:17 am(c) All determinations shall be made on a timely basis, as required by the exigencies of the situation. (1) An... View more
NJ Admin Code § 11:24-8.3(c)(1)(ii)
October 15, 2021 5:25 am(c) All determinations shall be made on a timely basis, as required by the exigencies of the situation. (1) An... View more
NJ Admin Code § 11:24-8.3(d)
October 15, 2021 5:18 am(d) An HMO shall not reverse a utilization management decision where the provider relied upon the written or oral authorization... View more