Nev. Admin. Code § 616B.010 - Maintenance of files for claims; address to be used for correspondence and other documents

1. Except as otherwise provided in subsection 2 and NAC 616B.013, copies of all claim files maintained by:

(a) An organization for managed care pursuant to chapters 616A to 617, inclusive, of NRS or regulations adopted pursuant thereto must be maintained in one of its offices located in this State.

(b) An insurer or third-party administrator pursuant to chapters 616A to 617, inclusive, of NRS or regulations adopted pursuant thereto must be made available for inspection and reproduction in accordance with NRS 616B.021, as amended by section 3 of Senate Bill No. 274, chapter 535, Statutes of Nevada 2023, at page 3614.

2. Any Form C-4, Employee's Claim for Compensation/Report of Initial Treatment, and all other correspondence and other documents submitted to an insurer, third-party administrator or organization for managed care that concerns a claim for compensation which is being administered pursuant to chapters 616A to 617, inclusive, of NRS or any regulations adopted pursuant thereto must be mailed to the address of the insurer, third-party administrator or organization for managed care at one of its offices or provided by electronic means to the insurer, third-party administrator or organization for managed care. All correspondence and documents shall be deemed to be officially received only if they have been so mailed or provided by electronic means.

Notes

Nev. Admin. Code § 616B.010

Added to NAC by Div. of Industrial Relations by R208-97, eff. 4-17-98; A by R105-00, 1-18-2001, eff. 3-1-2001; A by R132-14, eff. 6/28/2016; A by R076-23A, eff. 10/9/2024

NRS 616A.400 and 616B.021, as amended by section 3 of Senate Bill No. 274, chapter 535, Statutes of Nevada 2023, at page 3614