EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted. Green numbers along left margin indicate location on the printed bill (e.g., 5-15 indicates page 5, line 15).

1-1 Section 1. Chapter 689A of NRS is hereby amended by adding thereto

1-2 a new section to read as follows:

1-3 An insurer may charge a provider of health care a fee to include the

1-4 name of the provider on a list of providers of health care given by the

1-5 insurer to its insureds. The amount of the fee must be reasonable and

1-6 must not exceed an amount that is directly related to the administrative

1-7 costs of the insurer to include the provider on the list.

1-8 Sec. 2. NRS 689A.410 is hereby amended to read as follows:

1-9 689A.410 1. Except as otherwise provided in subsection 2, an insurer

1-18 the claim is approved until the claim is paid.

2-1 2. If the insurer requires additional information to determine whether to

2-2 approve or deny the claim, it shall notify the claimant of its request for the

2-3 additional information within 20 days after it receives the claim. The

2-4 insurer shall notify the provider of health care of all the [reason] specific

2-5 reasons for the delay in approving or denying the claim. The insurer shall

2-6 approve or deny the claim within 30 days after receiving the additional

2-7 information. If the claim is approved, the insurer shall pay the claim within

2-8 30 days after it receives the additional information. If the approved claim is

2-9 not paid within that period, the insurer shall pay interest on the claim in the

2-10 manner prescribed in subsection 1.

2-11 3. An insurer shall not request a claimant to resubmit information

2-12 that the claimant has already provided to the insurer, unless the insurer

2-13 provides a legitimate reason for the request and the purpose of the

2-14 request is not to delay the payment of the claim, harass the claimant or

2-15 discourage the filing of claims.

2-16 4. An insurer shall pay a claim that has been approved in one

2-17 payment.

2-18 5. A court shall award costs and reasonable attorney’s fees to the

2-19 prevailing party in an action brought pursuant to this section.

2-20 Sec. 3. Chapter 689B of NRS is hereby amended by adding thereto a

2-21 new section to read as follows:

2-22 An insurer that issues a policy of group health insurance may charge a

2-23 provider of health care a fee to include the name of the provider on a list

2-24 of providers of health care given by the insurer to its insureds. The

2-25 amount of the fee must be reasonable and must not exceed an amount

2-26 that is directly related to the administrative costs of the insurer to include

2-27 the provider on the list.

2-28 Sec. 4. NRS 689B.255 is hereby amended to read as follows:

2-29 689B.255 1. Except as otherwise provided in subsection 2, an insurer

2-43 reasons for the delay in approving or denying the claim. The insurer shall

3-1 approve or deny the claim within 30 days after receiving the additional

3-2 information. If the claim is approved, the insurer shall pay the claim within

3-3 30 days after it receives the additional information. If the approved claim is

3-4 not paid within that period, the insurer shall pay interest on the claim in the

3-5 manner prescribed in subsection 1.

3-6 3. An insurer shall not request a claimant to resubmit information

3-7 that the claimant has already provided to the insurer, unless the insurer

3-8 provides a legitimate reason for the request and the purpose of the

3-9 request in not to delay the payment of the claim, harass the claimant or

3-10 discourage the filing of claims.

3-11 4. An insurer shall pay a claim that has been approved in one

3-12 payment.

3-13 5. A court shall award costs and reasonable attorney’s fees to the

3-14 prevailing party in an action brought pursuant to this section.

3-15 Sec. 5. Chapter 689C of NRS is hereby amended by adding thereto the

3-16 provisions set forth as sections 6 and 7 of this act.

3-17 Sec. 6. A carrier serving small employers and a carrier that offers a

3-18 contract to a voluntary purchasing group may charge a provider of

3-19 health care a fee to include the name of the provider on a list of providers

3-20 of health care given by the carrier to its insureds. The amount of the fee

3-21 must be reasonable and must not exceed an amount that is directly

3-22 related to the administrative costs of the carrier to include the provider

3-23 on the list.

3-24 Sec. 7. 1. Except as otherwise provided in subsection 2, a carrier

3-25 serving small employers and a carrier that offers a contract to a

3-26 voluntary purchasing group shall approve or deny a claim relating to a

3-27 policy of health insurance within 30 days after the carrier receives the

3-28 claim. If the claim is approved, the carrier shall pay the claim within 30

3-29 days after it is approved. If the approved claim is not paid within that

3-30 period, the carrier shall pay interest on the claim at the rate of interest

3-31 established pursuant to NRS 99.040 unless a different rate of interest is

3-32 established pursuant to an express written contract between the carrier

3-33 and the claimant. The interest must be calculated from 30 days after the

3-34 date on which the claim is approved until the claim is paid.

3-35 2. If the carrier requires additional information to determine

3-36 whether to approve or deny the claim, it shall notify the claimant of its

3-37 request for the additional information within 20 days after it receives the

3-38 claim. The carrier shall notify the provider of health care of all the

3-39 specific reasons for the delay in approving or denying the claim. The

3-40 carrier shall approve or deny the claim within 30 days after receiving the

3-41 additional information. If the claim is approved, the carrier shall pay the

3-42 claim within 30 days after it receives the additional information. If the

4-1 approved claim is not paid within that period, the carrier shall pay

4-2 interest on the claim in the manner prescribed in subsection 1.

4-3 3. A carrier shall not request a claimant to resubmit information that

4-4 the claimant has already provided to the carrier, unless the carrier

4-5 provides a legitimate reason for the request and the purpose of the

4-6 request is not to delay the payment of the claim, harass the claimant or

4-7 discourage the filing of claims.

4-8 4. A carrier shall pay a claim that has been approved in one

4-9 payment.

4-10 5. A court shall award costs and reasonable attorney’s fees to the

4-11 prevailing party in an action brought pursuant to this section.

4-12 Sec. 8. Chapter 695A of NRS is hereby amended by adding thereto a

4-13 new section to read as follows:

4-14 A society may charge a provider of health care a fee to include the

4-15 name of the provider on a list of providers of health care given by the

4-16 society to its insureds. The amount of the fee must be reasonable and

4-17 must not exceed an amount that is directly related to the administrative

4-18 costs of the society to include the provider on the list.

4-19 Sec. 9. NRS 695A.188 is hereby amended to read as follows:

4-20 695A.188 1. Except as otherwise provided in subsection 2, a society

4-42 provides a legitimate reason for the request and the purpose of the

5-1 request is not to delay the payment of the claim, harass the claimant or

5-2 discourage the filing of claims.

5-3 4. A society shall pay a claim that has been approved in one

5-4 payment.

5-5 5. A court shall award costs and reasonable attorney’s fees to the

5-6 prevailing party in an action brought pursuant to this section.

5-7 Sec. 10. Chapter 695B of NRS is hereby amended by adding thereto a

5-8 new section to read as follows:

5-9 A corporation subject to the provisions of this chapter may charge a

5-10 provider of health care a fee to include the name of the provider on a list

5-11 of providers of health care given by the corporation to its insureds. The

5-12 amount of the fee must be reasonable and must not exceed an amount

5-13 that is directly related to the administrative costs of the corporation to

5-14 include the provider on the list.

5-15 Sec. 11. NRS 695B.2505 is hereby amended to read as follows:

5-16 695B.2505 1. Except as otherwise provided in subsection 2, a

5-42 the claimant or discourage the filing of claims.

6-1 4. A corporation shall pay a claim that has been approved in one

6-2 payment.

6-3 5. A court shall award costs and reasonable attorney’s fees to the

6-4 prevailing party in an action brought pursuant to this section.

6-5 Sec. 12. Chapter 695C of NRS is hereby amended by adding thereto a

6-6 new section to read as follows:

6-7 A health maintenance organization may charge a provider of health

6-8 care a fee to include the name of the provider on a list of providers of

6-9 health care given by the health maintenance organization to its enrollees.

6-10 The amount of the fee must be reasonable and must not exceed an

6-11 amount that is directly related to the administrative costs of the health

6-12 maintenance organization to include the provider on the list.

6-13 Sec. 13. NRS 695C.185 is hereby amended to read as follows:

6-14 695C.185 1. Except as otherwise provided in subsection 2, a health

6-43 claimant or discourage the filing of claims.

7-1 4. A health maintenance organization shall pay a claim that has

7-2 been approved in one payment.

7-3 5. A court shall award costs and reasonable attorney’s fees to the

7-4 prevailing party in an action brought pursuant to this section.

7-5 Sec. 14. NRS 695F.090 is hereby amended to read as follows:

7-6 695F.090 Prepaid limited health service organizations are subject to