NRS 439B.748 – Payment to out-of-network emergency facility by third party.
1. If an out-of-network emergency facility had a provider contract as an in-network emergency facility within the 24 months immediately preceding the date on which the medically necessary emergency services were rendered to a covered person, the third party that provides coverage for the covered person shall pay to the out-of-network emergency facility for those […]
NRS 439B.751 – Payment to out-of-network provider, other than emergency facility, by third party.
1. If an out-of-network provider, other than an out-of-network emergency facility, had a provider contract as an in-network provider within the 12 months immediately preceding the date on which the medically necessary emergency services were rendered to a covered person and: (a) The out-of-network provider terminated the most recent applicable provider contract between the third […]
NRS 439B.754 – Determination of amount owed when no recent contract exists between out-of-network provider and third party; arbitration to resolve dispute; no interest pending resolution of dispute; confidentiality of arbitration.
1. An out-of-network provider shall accept or reject an amount paid pursuant to subsection 2 of NRS 439B.748 or paragraph (c) of subsection 1 or subsection 2 of NRS 439B.751 as payment in full for the medically necessary emergency services for which the payment was offered within 30 days after receiving the payment. If an […]
NRS 439B.757 – Election by certain entities and organizations not otherwise covered to submit to provisions; regulations.
Any entity or organization, not otherwise subject to the provisions of NRS 439B.700 to 439B.760, inclusive, that provides coverage for emergency medical services, including, without limitation, a participating public agency, as defined in NRS 287.04052, and any other local governmental agency which provides a system of health insurance for the benefit of its officers and […]
NRS 439B.760 – Reports; confidentiality of information.
1. On or before December 31 of each year, an arbitrator who arbitrated a matter pursuant to NRS 439B.754 during the immediately preceding 12 months shall report to the Department of Health and Human Services in the form prescribed by the Department: (a) The number of cases arbitrated by the arbitrator; (b) The types of […]
NRS 439B.736 – “Third party” defined. [Effective through December 31, 2025.] “Third party” defined. [Effective January 1, 2026.]
1. “Third party” includes, without limitation: (a) The issuer of a health benefit plan, as defined in NRS 695G.019, which provides coverage for medically necessary emergency services; (b) The Public Employees’ Benefits Program established pursuant to subsection 1 of NRS 287.043; and (c) Any other entity or organization that elects pursuant to NRS 439B.757 for […]
NRS 439B.739 – “To stabilize” and “stabilized” defined.
“To stabilize” and “stabilized” have the meanings ascribed to them in 42 U.S.C. § 1395dd(e)(3). (Added to NRS by 2019, 321)
NRS 439B.742 – Inapplicability of provisions to certain hospitals, persons and health care services.
The provisions of NRS 439B.745 and 439B.748 do not apply to: 1. A hospital which has been certified as a critical access hospital by the Secretary of Health and Human Services pursuant to 42 U.S.C. § 1395i-4(e) or any medically necessary emergency services provided at such a hospital; 2. A person who is covered by […]
NRS 439B.745 – Limitation on amount out-of-network provider may collect from covered person; duties of out-of-network emergency facility upon providing services.
1. An out-of-network provider shall not collect from a covered person for medically necessary emergency services, and a covered person is not responsible for paying, an amount that exceeds the copayment, coinsurance or deductible required for such services provided by an in-network provider by the coverage for that person. 2. An out-of-network emergency facility that […]
NRS 439B.706 – “Independent center for emergency medical care” defined.
“Independent center for emergency medical care” has the meaning ascribed to it in NRS 449.013. (Added to NRS by 2019, 320)