Nev. Admin. Code § 695C.530 - Contract for provision of health care services
A contract entered into by a delivery system intermediary and a provider for the provision of health care services must:
1. Describe the responsibilities of the
provider and the delivery system intermediary under the contract.
2. Release enrollees and subscribers from
liability for the cost of the health care services provided pursuant to the
organization's health care plan, except for any nominal payment made by the
enrollee for a service not covered under the evidence of coverage.
3. Require the provider to participate in a
program to ensure the quality of health care provided to enrollees by the
organization.
4. Require the
provider to provide to each enrollee all medically necessary services required
by the evidence of coverage and the contract for the period for which a premium
has been paid to the organization.
5. Be effective for not less than 1 year,
subject to any right of termination provided in the contract.
6. Require the provider to furnish evidence
of a contract of insurance against loss arising from injuries to third parties
resulting from the practice of his or her profession or a reasonable substitute
as determined by the organization.
7. Require the provider to transfer or
arrange for the maintenance of the records of enrollees and subscribers who are
his or her patients if the provider terminates the contract with the delivery
system intermediary.
Notes
NRS 679B.130
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