NRS 616C.135
Liability of insurer for payment of charges for treatment related to industrial injury or occupational disease

  • acceptance of payment by provider of health care from injured employee or health or casualty insurer for treatment that was erroneously denied.

1.

A provider of health care who accepts a patient as a referral for the treatment of an industrial injury or an occupational disease may not charge the patient for any treatment related to the industrial injury or occupational disease, but must charge the insurer. The provider of health care may charge the patient for any services that are not related to the employee’s industrial injury or occupational disease.

2.

The insurer is liable for the charges for approved services related to the industrial injury or occupational disease if the charges do not exceed:

(a)

The fees established in accordance with NRS 616C.260 or the usual fee charged by that person or institution, whichever is less; and

(b)

The charges provided for by the contract between the provider of health care and the insurer or the contract between the provider of health care and the organization for managed care.

3.

A provider of health care may accept payment from an injured employee or from a health or casualty insurer paying on behalf of the injured employee pursuant to NRS 616C.138 for treatment or other services that the injured employee alleges are related to the industrial injury or occupational disease.

4.

If a provider of health care, an organization for managed care, an insurer or an employer violates the provisions of this section, the Administrator shall impose an administrative fine of not more than $250 for each violation.

Source: Section 616C.135 — Liability of insurer for payment of charges for treatment related to industrial injury or occupational disease; acceptance of payment by provider of health care from injured employee or health or casualty insurer for treatment that was erroneously denied., https://www.­leg.­state.­nv.­us/NRS/NRS-616C.­html#NRS616CSec135.

616C.085
Duties of employer when employee injured: First aid 616C.087
Selection of physician or chiropractor: Legislative declaration regarding rights of injured employee 616C.090
Selection of physician or chiropractor: Establishment, maintenance and update of panel of physicians and chiropractors 616C.095
Duty of physician or chiropractor to advise injured employee of rights. 616C.098
Use by physician or chiropractor of certain phrases relating to causation of industrial injury or occupational disease. 616C.100
Additional determination of percentage of disability permitted if cost paid by injured employee 616C.105
Requirements for designation of chiropractor to rate permanent partial disabilities. 616C.115
Prescription of generic drugs required 616C.117
Prescription of drugs dispensed directly to injured employee 616C.120
Employee may elect treatment through prayer in lieu of medical treatment. 616C.125
Insurer may contract with suppliers for provision of services and goods to injured employees. 616C.130
Insurer’s payment to physician or chiropractor attending injured employee conditioned upon receipt of itemized statement and certificate. 616C.135
Liability of insurer for payment of charges for treatment related to industrial injury or occupational disease 616C.136
Action by insurer on bill from provider of health care 616C.137
Denial of payment for unrelated services: Requirements for notification 616C.138
Payment of provider of health care upon insurer’s denial of authorization or responsibility for treatment or other services provided 616C.140
Medical examination of claimant 616C.145
Independent medical examination of claimant
Last Updated

Jun. 24, 2021

§ 616C.135’s source at nv​.us