Nev. Rev. Stat. § 687B.730

Current through 82nd (2023) Legislative Session Chapter 535 and 34th (2023) Special Session Chapter 1 and 35th (2023) Special Session Chapter 1

Section 687B.730 - Health carrier required to notify participating provider of health care of administrative policies and programs of carrier

A health carrier which offers or issues a network plan shall notify each participating provider of health care in the network of the responsibilities of the participating provider of health care with respect to any applicable administrative policies and programs of the health carrier including, without limitation, any applicable administrative policies and programs concerning:

1. Terms of payment;

2. Utilization review;

3. Quality assessment and improvement;

4. Credentialing;

5. Procedures for grievances and appeals;

6. Requirements for data reporting;

7. Requirements for timely notice to the health carrier of changes in the practices of the participating provider of health care, such as discontinuance of accepting new patients;

8. Requirements for confidentiality; and

9. Any applicable federal or state programs.

NRS 687B.730

Added to NRS by 2017, 2351

Added by 2017, Ch. 376,§71, eff. 7/1/2017.