Access to services and contractual discounts of a provider of health care: Obligations of health carrier and third parties concerning remittance advice or explanation of payment; refusal of discount taken on such advice or explanation by provider of health care; correction of error in advice or explanation; requirements of third party for such access.
Nev. Rev. Stat. § 687B.697
in effect1. A health carrier and third parties are obligated to comply with NRS 687B.694 and 687B.696 concerning the services referenced on a remittance advice or explanation of payment. A provider of health care may refuse the discount taken on the remittance advice or explanation of payment if the discount is taken without a contractual basis or in violation of NRS 687B.693 or 687B.695 . An error in the remittance advice or explanation of payment may be corrected not more than 30 days after given notice of the error by the provider of health care.
2. A health carrier may not lease, rent or otherwise grant to a third party, access to a provider network contract unless the third party accessing the provider network contract is:
(a) A payer or third party, administrator or other entity that administers or processes claims on behalf of the payer;
(b) A preferred provider of health care organization or preferred provider of health care network, including a physician organization or a physician-hospital organization; or
(c) An entity engaged in the electronic claims transport between the health carrier and the payer that does not provide access to the services and discounts of a provider of health care to any other third party.
Source: NV Statutes (Official Site)URL: https://www.leg.state.nv.us/nrs/NRS-687B.htmlFetched: 10/4/2026