§ 687B.600 Definitions
§ 687B.602 ‘Administrator’ defined
§ 687B.605 ‘Covered person’ defined
§ 687B.606 ‘Dental care’ defined
§ 687B.607 ‘Direct notification’ defined
§ 687B.610 ‘Evidence of coverage’ defined
§ 687B.615 ‘Health benefit plan’ defined
§ 687B.620 ‘Health care services’ defined
§ 687B.625 ‘Health carrier’ defined
§ 687B.630 ‘Intermediary’ defined
§ 687B.635 ‘Medically necessary’ defined
§ 687B.640 ‘Network’ defined
§ 687B.645 ‘Network plan’ defined
§ 687B.650 ‘Participating provider of health care’ defined
§ 687B.655 ‘Primary care physician’ defined
§ 687B.658 ‘Provider network contract’ defined
§ 687B.660 ‘Provider of health care’ defined
§ 687B.664 ‘Third party’ defined
§ 687B.665 ‘Utilization review’ defined
§ 687B.670 Requirements to offer or issue network plan
§ 687B.675 Provision of information to Office for Consumer Health Assistance
§ 687B.680 Health carrier required to establish mechanism for ongoing notification of participating providers of health care of services covered by network plan and for which provider is responsible
§ 687B.690 Required provisions in contract between participating provider of health care and health carrier
§ 687B.692 Provider network contract: Circumstances in which health carrier prohibited from denying request to enter into contract from a provider of health care employed or accepting employment with medical school; grounds for denial of request or terminati
§ 687B.693 Access to services and contractual discounts of a provider of health care: Inapplicability of provisions
§ 687B.694 Access to services and contractual discounts of a provider of health care: Requirements for granting access; termination; confidentiality
§ 687B.695 Access to services and contractual discounts of a provider of health care: Obligations of third party that grants access to another third party
§ 687B.696 Access to services and contractual discounts of a provider of health care: Information required to be provided to health carrier and providers of health care by third parties; update of information
§ 687B.697 Access to services and contractual discounts of a provider of health care: Obligations of health carrier and third parties concerning remittance advice or explanation of payment; refusal of discount taken on such advice or explanation by provider
§ 687B.700 Contract required to provide requirement that participating provider of health care continue delivery of services if health carrier or intermediary insolvent or ceases operations for specified period; billing of covered person
§ 687B.710 Certain provisions included in contract required to be construed in favor of covered person, survive termination of contract and supersede certain contrary agreements
§ 687B.720 Contract required to provide for notice of insolvency or cessation of operations of health carrier or intermediary to participating provider of health care
§ 687B.723 Claim for dental care: Health carrier or administrator of health benefit plan prohibited from denying claim for which prior authorization has been granted; exceptions
§ 687B.725 Claim for dental care: Requirements and limitations related to recovery of overpayments
§ 687B.730 Health carrier required to notify participating provider of health care of administrative policies and programs of carrier
§ 687B.740 Inducement to provide less than medically necessary health care services prohibited
§ 687B.750 Health carrier not to prohibit certain actions by participating provider of health care
§ 687B.760 Health records; confidentiality
§ 687B.770 Assignment or delegation of rights and responsibilities without prior written consent prohibited
§ 687B.780 Health carrier required to ensure that participating providers of health care furnish covered services to all covered persons; exception
§ 687B.790 Health carrier required to notify participating providers of health care of obligation to collect coinsurance, copayment or deductible or notify covered person of obligation for services not covered
§ 687B.795 Health carrier required to demonstrate capacity to adequately deliver family planning services provided by pharmacists or pharmacies; notice to covered persons; regulations
§ 687B.800 Retaliation for good faith reporting to state or federal authority prohibited
§ 687B.805 Prohibited acts by health carrier relating to 340B Program; provisions do not prohibit certain entities from taking actions necessary to prevent duplicate discounts or rebates or ensure financial stability of Medicaid program
§ 687B.810 Health carrier required to establish mechanism to allow participating provider of health care to determine whether a person is a covered person or within grace period for payment of premium
§ 687B.820 Procedures for resolution of disputes
§ 687B.830 Contract for purposes of network plan prohibited from conflicting with network plan or law; notice of provisions and incorporated documents; notice of changes
§ 687B.840 Health carrier required to inform participating provider of health care of status and inclusion on certain lists maintained by health carrier upon request or change in such status or inclusion
§ 687B.850 Regulations
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Terms Used In Nevada Revised Statutes > Chapter 687B > Network Plans

  • Contract: A legal written agreement that becomes binding when signed.
  • Entitlement: A Federal program or provision of law that requires payments to any person or unit of government that meets the eligibility criteria established by law. Entitlements constitute a binding obligation on the part of the Federal Government, and eligible recipients have legal recourse if the obligation is not fulfilled. Social Security and veterans' compensation and pensions are examples of entitlement programs.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fraud: Intentional deception resulting in injury to another.
  • Grace period: The number of days you'll have to pay your bill for purchases in full without triggering a finance charge. Source: Federal Reserve
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • person: means a natural person, any form of business or social organization and any other nongovernmental legal entity including, but not limited to, a corporation, partnership, association, trust or unincorporated organization. See Nevada Revised Statutes 0.039
  • physician: means a person who engages in the practice of medicine, including osteopathy and homeopathy. See Nevada Revised Statutes 0.040
  • Public law: A public bill or joint resolution that has passed both chambers and been enacted into law. Public laws have general applicability nationwide.