Nevada Administrative Code
Chapter 695D - Organizations for Dental Care
ADMINISTRATION AND RECORDS
Section 695D.190 - Contract between organization and provider
Universal Citation: NV Admin Code 695D.190
Current through September 16, 2024
1. Each contract between an organization and a provider must:
(a) Contain a complete description of the
duties of each party under the agreement.
(b) Require the provider to release each
member of the organization from all liability for the cost of services rendered
under the plan, except for uncovered expenditures and any copayments or
deductibles made by a member.
(c)
Be effective for not less than 1 year, subject to any mutual right of
termination provided by the agreement.
(d) Require the provider to comply with the
organization's program to assure the quality of dental care provided to
members.
(e) If the organization
becomes insolvent, require the provider to provide to each member all the
services specified by the plan and the agreement during the period for which a
premium has been paid by or on behalf of the member.
(f) Require the provider to furnish the
organization with evidence of:
(1) A contract
of insurance against liability to third persons for any injury caused by
professional malpractice; or
(2) A
reasonable substitute for such insurance, as determined by the
organization.
(g)
Require a provider, if he or she leaves the panel of dentists associated with
the organization, to transfer or arrange for the maintenance of the records of
members who are his or her patients.
2. An organization may require a provider to indemnify it against liability to third persons resulting from services rendered by the provider.
3. As used in this section, "uncovered expenditures" means the cost of any services, including services provided during an emergency:
(a) That are rendered by a provider and paid
for by the organization;
(b)
Concerning which there is no agreement between the provider and organization to
release the member from liability; and
(c) For which the member may be liable if the
organization becomes insolvent.
Added to NAC by Comm'r of Insurance, eff. 12-2-88
NRS 679B.130, 695D.100
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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