AB52
AN ACT relating to insurance; requiring the Commissioner of Insurance to establish programs to inform providers of health care and insureds under health insurance policies of certain information relating to the payment of claims; revising provisions governing the payment of claims under policies of health insurance; establishing certain administrative penalties; requiring a health carrier to provide certain information to participating providers of health care and covered persons; requiring a health carrier to establish certain procedures for challenging the denial of a claim; and providing other matters properly relating thereto. Close title AN ACT relating to insurance; requiring the Commissioner of Insurance to establish programs to inform providers of health care and insureds under health insurance policies of certain information relating to the payment of claims; revising provisions governing the payment of claims under policies of health insurance; establishing certain administrative penalties; requiring a health carrier to provide certain information to participating providers of health care and covered persons; requiring a health carrier to establish certain procedures for challenging the denial of a claim; and providing other matters properly relating thereto.
Introduction Date
Tuesday, November 19, 2024
Primary Sponsor
Assembly Committee on Commerce and Labor
Public exhibits
4
Support 1 · Opp 0 · Neutral 1
Auditor findings
0
recusal 0 · QPQ 0
AN ACT relating to insurance; requiring the Commissioner of Insurance to establish programs to inform providers of healt
In most cases, existing law requires the administrators of health insurance plans and certain health insurers to approve or deny a claim within 30 days after the insurer receives the claim. If the administrator or insurer approves the claim, existing law requires the administrator or insurer to pay the claim within 30 days after the claim is approved. If the administrator or insurer requires additional information to determine whether to approve or deny the claim, existing law requires the administrator or insurer to notify the claimant of its request for additional information within 20 days after the administrator or insurer receives the claim. If the administrator or insurer approves the claim after receiving such additional information from the claimant, existing law requires the administrator or insurer to pay the claim within 30 days after receiving such information. Existing law requires an administrator or insurer that fails to pay a claim within the required time period to pay interest on the claim at a prescribed rate. (NRS 287.04335, 683A.0879, 689A.410, 689B.255, 689C.335, 695A.188, 695B.2505, 695C.185, 695D.215, 695F.090) Sections 2, 5, 8-11, 14 and 16 of this bill replace those requirements with uniform requirements governing the time periods for the payment of health insurance claims that apply to administrators of health insurance plans and all private health insurers in this State. Specifically, sections 2, 5, 8-11, 14 and 16 require each such administrator o
NELIS exhibits (4 on file)
Support (1)
- the Nevada Dental Association (Letter)
Neutral (1)
- Adam Plain (Testimony)
Bill text + amendments: view on NELIS →