NRS 679B.133
Regulations: Requirements regarding use of identification cards and devices to process claims for prescription drugs and devices.

1.

If a health care plan that provides coverage for prescription drugs or devices issues a single identification card or other device to an insured that contains information solely needed to process a claim for a prescription drug or device, the card or other device must conform to the requirements of the National Council for Prescription Drug Programs set forth in the NCPDP Pharmacy ID Card Implementation Guide that are consistent with applicable regulations adopted pursuant to the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191, as they may be amended from time to time, or must contain at least the following elements:

(a)

The name or logo of the administrator issuing the card or device.

(b)

The insured’s identification number, which must be displayed on the front side of the card or device.

(c)

The name and address of the administrator to which prescription claims that are not processed electronically or correspondence should be sent.

(d)

The telephone number that providers may call for assistance concerning pharmacy benefits.

(e)

Complete information concerning routing of electronic transactions, including, without limitation, the international identification number and, if required by the administrator to process the claim, the processing control number and group number.
Ê The information on the card or device must be arranged in a manner that corresponds both in content and form to the content and form required by the plan to process the claim.

2.

The Commissioner shall adopt such regulations as are necessary to carry out the provisions of this section.

3.

As used in this section:

(a)

“Administrator” has the meaning ascribed to it in NRS 683A.025, and includes a pharmacy benefits manager.

(b)

“Health care plan” has the meaning ascribed to it in NRS 679B.520.

Source: Section 679B.133 — Regulations: Requirements regarding use of identification cards and devices to process claims for prescription drugs and devices., https://www.­leg.­state.­nv.­us/NRS/NRS-679B.­html#NRS679BSec133.

679B.020
Appointment 679B.030
Qualifications. 679B.050
Official seal. 679B.060
Office space. 679B.080
Designation of acting Commissioner 679B.090
Employment of assistants and examiners 679B.100
Prohibited interests of Commissioner, deputy or employee 679B.110
Delegation of powers. 679B.115
Limitation on civil liability. 679B.120
Authority of Commissioner: General powers and duties. 679B.122
Authority of Commissioner: Cooperative or coordination agreements 679B.123
Authority of Commissioner: Reciprocal licenses for health carriers licensed in certain other states 679B.124
Denial of application of provider of health care to be included in network of providers of a health carrier: Form letter for notification by health carrier 679B.125
Observation of conduct of persons in insurance business 679B.127
Counseling elderly persons concerning health insurance 679B.130
Regulations: Adoption 679B.133
Regulations: Requirements regarding use of identification cards and devices to process claims for prescription drugs and devices. 679B.135
Regulations: Protections to purchasers, prospective purchasers, holders and former holders of policies. 679B.136
Regulations: Use of electronic signatures, records and payments 679B.137
Regulations: Method for maintaining records. 679B.138
Regulations: Use of uniform claim forms and billing codes 679B.139
Regulations: Plans for providing welfare benefits to employees of more than one employer. 679B.140
Orders and notices. 679B.142
Orders prohibiting insurer from transacting insurance 679B.144
Commissioner required to collect information regarding closed claims for medical malpractice 679B.145
Publication, maintenance and distribution of guide to rates for policies of insurance for motor vehicles. 679B.150
Measures to enhance public understanding of coverages and to encourage competition 679B.152
Review of fees for medical or dental care determined to be usual and customary 679B.159
Report of violation to Commissioner 679B.160
Advisory councils. 679B.170
Private ombudsmen. 679B.180
Enforcement. 679B.185
Administrative fine for willfully engaging in unauthorized transaction of insurance: Limitation 679B.187
Person who invests or handles money or assets of insurer designated fiduciary 679B.190
Maintenance, inspection and destruction of records 679B.200
Evidentiary effect of Commissioner’s certificates and certified copies of documents. 679B.220
Interstate and international cooperation. 679B.225
Inspection of insurance policies. 679B.227
Statute of limitations for commencing proceedings to collect premium tax. 679B.228
Fee for returned check or other dishonored payment.
Last Updated

Jun. 24, 2021

§ 679B.133’s source at nv​.us