NRS 695G.055
“Medically necessary” defined.

“Medically necessary” means health care services or products that a prudent physician would provide to a patient to prevent, diagnose or treat an illness, injury or disease, or any symptoms thereof, that are necessary and:

1.

Provided in accordance with generally accepted standards of medical practice;

2.

Clinically appropriate with regard to type, frequency, extent, location and duration;

3.

Not primarily provided for the convenience of the patient, physician or other provider of health care;

4.

Required to improve a specific health condition of an insured or to preserve the existing state of health of the insured; and

5.

The most clinically appropriate level of health care that may be safely provided to the insured.

Source: Section 695G.055 — “Medically necessary” defined., https://www.­leg.­state.­nv.­us/NRS/NRS-695G.­html#NRS695GSec055.

Last Updated

Jun. 24, 2021

§ 695G.055’s source at nv​.us