Title 40

NRS 439B.745 Limitation on amount out-of-network provider may collect from covered person; duties of out-of-network emergency facility upon providing services. 1. An out-of-network provider shall not collect from a covered person for medically necessary emergency services, and a …

NRS 439B.748 Payment to out-of-network emergency facility by third party. 1. If an out-of-network emergency facility had a provider contract as an in-network emergency facility within the 24 months immediately preceding the date on which the medically necessary emergency services…

NRS 439B.751 Payment to out-of-network provider, other than emergency facility, by third party. 1. If an out-of-network provider, other than an out-of-network emergency facility, had a provider contract as an in-network provider within the 12 months immediately preceding the date…

NRS 439B.754 Determination of amount owed when no recent contract exists between out-of-network provider and third party; arbitration to resolve dispute; no interest pending resolution of dispute; confidentiality of arbitration. 1. An out-of-network provider shall accept or rejec…

NRS 439B.757 Election by certain entities and organizations not otherwise covered to submit to provisions; regulations. Any entity or organization, not otherwise subject to the provisions of NRS 439B.700 to 439B.760, inclusive, that provides coverage for emergency medical service…

NRS 439B.760 Reports; confidentiality of information. 1. On or before December 31 of each year, an arbitrator who arbitrated a matter pursuant to NRS 439B.754 during the immediately preceding 12 months shall report to the Department in the form prescribed by the Department: (a) T…

NRS 439B.800 Definitions. As used in NRS 439B.800 to 439B.875, inclusive, unless the context otherwise requires, the words and terms defined in NRS 439B.805 to 439B.830, inclusive, have the meanings ascribed to them in those sections. (Added to NRS by 2021, 3050; A 2025, 3707)

NRS 439B.805 “All-payer claims database” defined. “All-payer claims database” means the all-payer claims database established pursuant to NRS 439B.835. (Added to NRS by 2021, 3050)

NRS 439B.810 “Covered entity” defined. “Covered entity” has the meaning ascribed to it in 45 C.F.R. § 160.103. (Added to NRS by 2021, 3050)

NRS 439B.815 “Direct patient identifier” defined. “Direct patient identifier” means data that directly identifies a patient, including, without limitation, a name, telephone number, social security number, number associated with a medical record, health plan beneficiary number or…

NRS 439B.817 “Office” defined. “Office” means the Office of Data Analytics of the Authority. (Added to NRS by 2025, 3703)

NRS 439B.820 “Proprietary financial information” defined. “Proprietary financial information” means data that discloses or allows the determination of: 1. A specific term of a contract, discount or other agreement between any or all of a provider of health care, a health facility…

NRS 439B.825 “Provider of health care” defined. “Provider of health care” has the meaning ascribed to it in NRS 629.031. (Added to NRS by 2021, 3051)

NRS 439B.830 “Unique identifier” defined. “Unique identifier” means an identifier that is guaranteed to be unique for a patient and can be used to track information relating to the patient but is not a direct patient identifier. (Added to NRS by 2021, 3051)

NRS 439B.835 Establishment of database; duties of Office; advisory committees. 1. The Office shall, to the extent that federal money is available for this purpose, establish an all-payer claims database of information relating to health insurance claims resulting from medical, de…

NRS 439B.840 Entities required and authorized to submit data to database; removal of direct patient identifiers and assignment of unique identifiers. If an all-payer claims database is established pursuant to NRS 439B.835: 1. Except as otherwise provided in this section, each hea…

NRS 439B.845 Confidentiality of data; compliance with certain federal law; use of data in enforcement proceedings. 1. Except as otherwise provided in subsection 3 and NRS 439B.855, data contained in the all-payer claims database, if established pursuant to NRS 439B.835, is confid…

NRS 439B.850 Data requests. To obtain data pursuant to subsection 3 of NRS 439B.855 from the all-payer claims database, if established pursuant to NRS 439B.835, a person or entity must submit a request to the Office. The request must include, without limitation: 1. A description …

NRS 439B.855 Access to and use of data; prohibition on release of data to certain entities; duties of recipient of data; requirement to include certain information in report which contains or uses data. If the all-payer claims database is established pursuant to NRS 439B.835: 1. …

NRS 439B.860 Report concerning quality, efficiency and cost of health care based on data; publication of list of reports Office intends to publish in next calendar year. 1. The Office shall, at least annually, publish a report concerning the quality, efficiency and cost of health…

NRS 439B.865 Reports concerning cost, performance and effectiveness of database and information concerning grants. If the all-payer claims database is established pursuant to NRS 439B.835: 1. On or before December 31 of each even-numbered year, the Office shall submit to the Dire…

NRS 439B.870 Immunity from certain civil or criminal liability. 1. No person or entity providing information to the Office, including, without limitation, data submitted to the all-payer claims database, if established pursuant to NRS 439B.835, in accordance with NRS 439B.800 to …

NRS 439B.875 Regulations; administrative penalties; contracts and agreements; gifts, grants and donations; accounting and use of administrative penalties by Office. If the all-payer claims database is established pursuant to NRS 439B.835: 1. The Office shall adopt regulations tha…