Nev. Admin. Code § 695C.047

Current through December 12, 2024

Section 695C.047 - "Health service contract" defined

"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.

Nev. Admin. Code § 695C.047

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

NRS 679B.130