679B.138 - Regulations: Use of uniform claim forms and billing codes; transfer of electronic data. - Nevada Statutes

679B.138  Regulations: Use of uniform claim forms and billing codes; transfer of electronic data.

      1.  The Commissioner shall adopt regulations which require the use of uniform claim forms and billing codes and the ability to make compatible electronic data transfers for all insurers and administrators authorized to conduct business in this state relating to a health care plan or health insurance or providing or arranging for the provision of health care services, including, without limitation, an insurer that issues a policy of health insurance, an insurer that issues a policy of group health insurance, a carrier serving small employers, a fraternal benefit society, a hospital or medical service corporation, a health maintenance organization, a plan for dental care and a prepaid limited health service organization. The regulations must include, without limitation, a uniform billing format to be used for the submission of claims to such insurers and administrators.

      2.  As used in this section:

      (a) “Administrator” has the meaning ascribed to it in NRS 683A.025.

      (b) “Health care plan” means a policy, contract, certificate or agreement offered or issued by an insurer to provide, deliver, arrange for, pay for or reimburse any of the costs of health care services.

      (Added to NRS by 1999, 3042; A 2001, 2728)