Title 53

NRS 616C.025 Recovery of compensation barred if notice of injury or claim for compensation is not filed; exceptions. 1. Except as otherwise provided in subsection 2, an employee or, in the event of the death of the employee, a dependent of the employee, is barred from recovering …

NRS 616C.030 Dependent of injured employee barred from filing claim for compensation if untimely or previously denied. A dependent of an injured employee may not file a claim for compensation for an industrial injury pursuant to the provisions of chapters 616A to 616D, inclusive,…

NRS 616C.035 Application for death benefit. Where death results from injury, the parties entitled to compensation under chapters 616A to 616D, inclusive, of NRS, or someone in their behalf, must make application for compensation to the insurer. The application must be accompanied…

NRS 616C.040 Claim for compensation: Duty of treating physician, chiropractic physician, physician assistant or advanced practice registered nurse to file or delegate duty; electronic filing; form and contents; provision of completed form to injured employee; maintenance of forms…

NRS 616C.045 Report of industrial injury or occupational disease: Duty of employer to file; electronic filing; form and contents; penalty. 1. Except as otherwise provided in NRS 616B.727, within 6 working days after the receipt of a claim for compensation from a physician, chirop…

NRS 616C.050 Information required to be provided by insurer to claimant. 1. An insurer shall provide to each claimant: (a) Upon written request, one copy of any medical information concerning the claimant’s injury or illness. (b) A statement which contains information concerning …

NRS 616C.052 Exposure of police officer, firefighter or arson investigator to contagious disease: Reporting and testing requirements; eligibility for compensation. 1. Except as otherwise provided in NRS 617.485 and 617.487, if a police officer, a salaried or volunteer firefighter…

NRS 616C.055 Use of fee schedules which unfairly discriminate among physicians and chiropractic physicians prohibited; payment for services rendered by physician or chiropractic physician after removal from panel prohibited. 1. The insurer may not, in accepting responsibility for…

NRS 616C.065 Duty of insurer to accept or deny claim; new determination; penalty; failure of insurer to indicate acceptance or denial of claim; written determination. 1. Except as otherwise provided in NRS 616C.136, within 30 days after the insurer has been notified of an industr…

NRS 616C.070 Persons who are conclusively presumed to be totally dependent on injured or deceased employee; exception. 1. A person is conclusively presumed to be totally dependent upon an injured or deceased employee if: (a) The person is a natural, posthumous or adopted child, w…

NRS 616C.075 Effect of employee’s refusal to submit to physical examination after accident. 1. If an employee is properly directed to submit to a physical examination and the employee refuses to permit the treating physician, chiropractic physician, physician assistant or advance…

NRS 616C.085 Duties of employer when employee injured: First aid; reimbursement. 1. Every employer within the provisions of chapters 616A to 616D, inclusive, of NRS shall, immediately upon the occurrence of an injury to any of his or her employees, render to the injured employee …

NRS 616C.087 Selection of physician or chiropractic physician: Legislative declaration regarding rights of injured employee; requirements for lists maintained and updated by Administrator and insurer; duties of Administrator; removal of physician or chiropractic physician from in…

NRS 616C.090 Selection of physician or chiropractic physician: Establishment, maintenance and update of panel of physicians and chiropractic physicians; powers and duties of Administrator; selection and alternate selection from established panel or pursuant to contract; responsib…

NRS 616C.091 Selection of physician or chiropractic physician: Injured employee choice of physician to treat certain occupational diseases under certain circumstances; payment for treatment; reimbursement of payment; penalty for failure to reimburse within required time. 1. If an…

NRS 616C.092 Administrator to publish quarterly report of rating physicians and chiropractic physicians who conduct certain examinations or evaluations of injured employees; retention of archive of reports. 1. The Administrator shall, not later than 30 days after the end of each …

NRS 616C.095 Duty of physician, chiropractic physician, physician assistant or advanced practice registered nurse to advise injured employee of rights. 1. The physician, chiropractic physician, physician assistant or advanced practice registered nurse shall inform the injured emp…

NRS 616C.098 Use by physician, chiropractic physician, physician assistant or advanced practice registered nurse of certain phrases relating to causation of industrial injury or occupational disease. 1. Certain phrases relating to a claim for compensation for an industrial injury…

NRS 616C.099 Rating of disability for subsequent injury; required proof to reduce percentage of present disability; required forms of evidence; lack of documentary evidence. 1. If a rating evaluation was completed for a previous disability involving a condition, occupational dise…

NRS 616C.100 Additional determination of percentage of disability permitted if cost paid by injured employee; authority of injured employee to seek reimbursement of cost; results of determination may be offered at hearing or conference. 1. If an injured employee disagrees with th…

NRS 616C.105 Requirements for designation of chiropractic physician to rate permanent partial disabilities. The Administrator shall not designate a chiropractic physician to rate permanent partial disabilities unless the chiropractic physician has completed an advanced program of…

NRS 616C.110 American Medical Association’s Guides to the Evaluation of Permanent Impairment: Duty of Division to adopt Guides by regulation. 1. For the purposes of NRS 616B.557, 616B.578, 616B.587 and 616C.490, not later than August 1, 2003, the Division shall adopt regulations …

NRS 616C.115 Prescription of generic drugs required; exceptions. [Effective through June 30, 2027.] 1. Except as otherwise provided in subsection 2, a physician or advanced practice registered nurse shall prescribe for an injured employee a generic drug in lieu of a drug with a b…

NRS 616C.117 Prescription of drugs dispensed directly to injured employee; limitations. 1. With respect to drugs prescribed and dispensed directly to an injured employee by a provider of health care: (a) The provider of health care may dispense an initial supply of a controlled s…

NRS 616C.118 MCG Health’s Official Disability Guidelines Drug Formulary: Duty of Administrator to adopt; application to insurers; publication and update. [Effective July 1, 2027.] 1. The Administrator shall adopt the Official Disability Guidelines (ODG) Drug Formulary published b…

NRS 616C.119 Reimbursement by insurer for drugs listed but not approved on or omitted from formulary. [Effective July 1, 2027.] 1. Except as otherwise provided in this section, if an insurer, pursuant to subsection 2 of NRS 616C.118, is required to use the formulary adopted pursu…

NRS 616C.120 Employee may elect treatment through prayer in lieu of medical treatment. Any provision of this chapter or chapter 616A, 616B, 616D or 617 of NRS must not prevent an employee from providing for treatment for the employee’s injuries or disease through prayer or other …

NRS 616C.122 Administrator authorized to adopt regulations authorizing treating physician or chiropractic physician to delegate routine follow-up care to physician assistant. The Administrator may adopt regulations which authorize a treating physician or chiropractic physician to…

NRS 616C.125 Insurer may contract with suppliers for provision of services and goods to injured employees. An insurer may contract with suppliers to provide services and goods to injured employees. Such contracts may provide for the exclusive provision of specified services or go…

NRS 616C.130 Insurer’s payment to physician, chiropractic physician, physician assistant or advanced practice registered nurse attending injured employee conditioned upon receipt of itemized statement and certificate. 1. The insurer shall not authorize the payment of any money to…

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. Except a…

NRS 616C.136 Action by insurer on bill from provider of health care; payment of interest; request for additional information; compliance with requirements. 1. Except as otherwise provided in this section, an insurer shall pay or deny a bill for accident benefits received from a p…

NRS 616C.137 Denial of payment for unrelated services: Requirements for notification; liability of injured employee; appeal. 1. If an insurer, organization for managed care or employer who provides accident benefits for injured employees pursuant to NRS 616C.265 denies payment fo…

NRS 616C.138 Payment of provider of health care upon insurer’s denial of authorization or responsibility for treatment or other services provided; reimbursement of injured employee or health or casualty insurer; reimbursement from health or casualty insurer; recovery of excess am…

NRS 616C.140 Medical examination of claimant; effect of refusal to submit to examination; communications not privileged. 1. Any employee who is entitled to receive compensation under chapters 616A to 616D, inclusive, of NRS shall, if: (a) Requested by the insurer or employer; or …

NRS 616C.145 Independent medical examination of claimant; limitations; payment by insurer; rates of reimbursement; recovery of cost by insurer; applicability. 1. An injured employee may obtain an independent medical examination: (a) Except as otherwise provided in subsections 2 a…

NRS 616C.150 Compensation prohibited unless preponderance of evidence establishes that injury arose out of and in course of employment; rebuttable presumption if notice of injury is filed after termination of employment. 1. An injured employee or the dependents of the injured emp…

NRS 616C.155 Payment of compensation by insurer prohibited before required; recovery of overpayment by insurer. 1. An insurer shall not provide compensation to or for an employee or the dependents of the employee before the compensation is required to be paid pursuant to the prov…

NRS 616C.157 Request for prior authorization: Time to respond; effect of failure to respond in timely manner. 1. An insurer, organization for managed care or third-party administrator shall respond to a written request for prior authorization for: (a) Treatment; (b) Diagnostic te…

NRS 616C.160 Newly developed injury or disease: Inclusion in original claim for compensation; limitation. If, after a claim for compensation is filed pursuant to NRS 616C.020: 1. The injured employee seeks treatment from a physician or chiropractic physician for a newly developed…

NRS 616C.165 Determination of responsibility of insurer for undisputed claim for compensation; reimbursement of insurer initially providing compensation to injured employee. If responsibility for an undisputed claim for compensation by an injured employee is contested, the insure…

NRS 616C.170 Resolution of disputes between insurers if benefits are claimed against more than one insurer; adoption of regulations by Administrator; appeal of decision of Administrator; payment of benefits until determination of responsibility by Administrator. 1. The Administra…

NRS 616C.175 Employment-related aggravation of preexisting condition which is not employment related; aggravation of employment-related injury by incident which is not employment related. 1. The resulting condition of an employee who: (a) Has a preexisting condition from a cause …

NRS 616C.177 Medical records concerning preexisting condition: Authority of insurer to request records; injured employee required to release records under certain circumstances. 1. An insurer may inquire about and request medical records of an injured employee that concern a pree…

NRS 616C.180 Injury or disease caused by stress; agency which employs first responder required to provide training related to mental health issues. 1. Except as otherwise provided in this section, an injury or disease sustained by an employee that is caused by stress is compensab…

NRS 616C.185 Compensation for mastectomy and reconstructive surgery. 1. If compensation is paid to an employee under chapters 616A to 616D, inclusive, of NRS for the surgical procedure known as a mastectomy, the employee is also entitled to receive commensurate compensation for a…