1. "Third party" includes, without limitation:
(a) The issuer of a health benefit plan, as defined in NRS 695G.019, which provides coverage for medically necessary emergency services;
(b) The Public Employees’ Benefits Program established pursuant to subsection 1 of NRS 287.043; and
(c) Any other entity or organization that elects pursuant to NRS 439B.757 for the provisions of NRS 439B.700 to 439B.760, inclusive, to apply to the provision of medically necessary emergency services by out-of-network providers to covered persons.
2. The term does not include the State Plan for Medicaid, the Children’s Health Insurance Program or a health maintenance organization, as defined in NRS 695C.030, or managed care organization, as defined in NRS 695G.050, when providing health care services through managed care to recipients of Medicaid under the State Plan for Medicaid or insurance pursuant to the Children’s Health Insurance Program pursuant to a contract with the Division of Health Care Financing and Policy of the Department.
(Added to NRS by 2019, 321)
1. "Third party" includes, without limitation:
(a) The issuer of a health benefit plan, as defined in NRS 695G.019, which provides coverage for medically necessary emergency services;
(b) The Public Employees’ Benefits Program established pursuant to subsection 1 of NRS 287.043;
(c) The Public Option established pursuant to NRS 695K.200; and
(d) Any other entity or organization that elects pursuant to NRS 439B.757 for the provisions of NRS 439B.700 to 439B.760, inclusive, to apply to the provision of medically necessary emergency services by out-of-network providers to covered persons.
2. The term does not include the State Plan for Medicaid, the Children’s Health Insurance Program or a health maintenance organization, as defined in NRS 695C.030, or managed care organization, as defined in NRS 695G.050, when providing health care services through managed care to recipients of Medicaid under the State Plan for Medicaid or insurance pursuant to the Children’s Health Insurance Program pursuant to a contract with the Division of Health Care Financing and Policy of the Department.
(Added to NRS by 2019, 321; A 2021, 3644, effective January 1, 2026)
Structure Nevada Revised Statutes
Chapter 439B - Restraining Costs of Health Care
NRS 439B.030 - "Billed charge" defined.
NRS 439B.035 - "Children’s Health Insurance Program" defined.
NRS 439B.040 - "Committee" defined.
NRS 439B.050 - "Department" defined.
NRS 439B.060 - "Director" defined.
NRS 439B.070 - "Discharge form" defined.
NRS 439B.090 - "Fiscal year" defined.
NRS 439B.100 - "Health facility" defined.
NRS 439B.110 - "Hospital" defined.
NRS 439B.115 - "Major hospital" defined.
NRS 439B.120 - "Medicaid" defined.
NRS 439B.130 - "Medicare" defined.
NRS 439B.140 - "Net revenue" defined.
NRS 439B.150 - "Practitioner" defined.
NRS 439B.160 - Purposes of chapter.
NRS 439B.210 - Meetings; quorum; compensation.
NRS 439B.270 - Foundation for hospital nursing practice: Establishment; governing body.
NRS 439B.275 - Program for provision of technical assistance to rural hospitals.
NRS 439B.300 - Legislative findings and declarations; applicability.
NRS 439B.310 - "Indigent" defined.
NRS 439B.350 - Department to establish; purpose.
NRS 439B.360 - Evaluation: Recommendations; report to Interim Finance Committee.
NRS 439B.370 - Director authorized to contract for certain services.
NRS 439B.400 - Hospital must maintain and use uniform list of billed charges; exception.
NRS 439B.425 - Prohibited referral of patients; exceptions; penalty.
NRS 439B.450 - Powers and duties of Director.
NRS 439B.460 - Director authorized to delegate powers and duties.
NRS 439B.500 - Penalty for violation of provisions.
NRS 439B.605 - "Manufacturer" defined.
NRS 439B.607 - "National Drug Code" defined.
NRS 439B.610 - "Pharmacy" defined.
NRS 439B.615 - "Pharmacy benefit manager" defined.
NRS 439B.616 - "Rebate" defined.
NRS 439B.618 - "Third party" defined.
NRS 439B.619 - "Unit" defined.
NRS 439B.620 - "Wholesale acquisition cost" defined.
NRS 439B.622 - "Wholesaler" defined.
NRS 439B.630 - Department to annually compile lists of certain prescription drugs.
NRS 439B.675 - Manner of presentation of information.
NRS 439B.680 - Immunity from civil and criminal liability.
NRS 439B.703 - "Covered person" defined.
NRS 439B.706 - "Independent center for emergency medical care" defined.
NRS 439B.709 - "In-network emergency facility" defined.
NRS 439B.712 - "In-network provider" defined.
NRS 439B.715 - "Medically necessary emergency services" defined.
NRS 439B.718 - "Out-of-network emergency facility" defined.
NRS 439B.721 - "Out-of-network provider" defined.
NRS 439B.724 - "Provider contract" defined.
NRS 439B.727 - "Provider of health care" defined.
NRS 439B.730 - "Prudent person" defined.
NRS 439B.733 - "Screen" defined.
NRS 439B.739 - "To stabilize" and "stabilized" defined.
NRS 439B.742 - Inapplicability of provisions to certain hospitals, persons and health care services.
NRS 439B.748 - Payment to out-of-network emergency facility by third party.
NRS 439B.751 - Payment to out-of-network provider, other than emergency facility, by third party.
NRS 439B.760 - Reports; confidentiality of information.
NRS 439B.800 - Definitions. [Effective January 1, 2022.]
NRS 439B.805 - "All-payer claims database" defined. [Effective January 1, 2022.]
NRS 439B.810 - "Covered entity" defined. [Effective January 1, 2022.]
NRS 439B.815 - "Direct patient identifier" defined. [Effective January 1, 2022.]
NRS 439B.820 - "Proprietary financial information" defined. [Effective January 1, 2022.]
NRS 439B.825 - "Provider of health care" defined. [Effective January 1, 2022.]
NRS 439B.830 - "Unique identifier" defined. [Effective January 1, 2022.]
NRS 439B.850 - Data requests. [Effective January 1, 2022.]
NRS 439B.870 - Immunity from certain civil or criminal liability. [Effective January 1, 2022.]