Nevada Administrative Code
Chapter 695C - Health Maintenance Organizations; Provider-Sponsored Organizations
GENERAL PROVISIONS
Section 695C.047 - "Health service contract" defined

Universal Citation: NV Admin Code 695C.047

Current through December 31, 2024

"Health service contract" means an agreement between an organization and a delivery system intermediary in which the delivery system intermediary:

1. Accepts risk from the organization in any form, including, without limitation, per capita payments and payments of a percentage of premiums, for one or more health care services which will be furnished to enrollees, members, policyholders or subscribers of the organization by a provider chosen by the delivery system intermediary and the delivery system intermediary assumes financial liability for the covered services; and

2. Contracts with a provider to furnish one or more health care services to enrollees, members, policyholders or subscribers of the organization.

Added to NAC by Comm'r of Insurance by R129-96, eff. 10-29-97

NRS 679B.130

Disclaimer: These regulations may not be the most recent version. Nevada may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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