Commissioner of Insurance to develop standardized form for use by insurers and other entities to obtain information related to credentials of certain providers of health care.
1. Except as otherwise provided in subsection 2, the Commissioner of Insurance shall develop, prescribe for use and make available a single, standardized form for use by insurers, carriers, societies, corporations, health maintenance organizations and managed care organizations in obtaining any information related to the credentials of a provider of health care.
2. The provisions of subsection 1 do not prohibit the Commissioner of Insurance from developing, prescribing for use and making available:
(a) Appropriate variations of the form described in that subsection for use in different geographical regions of this State.
(b) Addenda or supplements to the form described in that subsection to address, until such time as a new form may be developed, prescribed for use and made available, any requirements newly imposed by the Federal Government, the State or one of its agencies, or a body that accredits hospitals, medical facilities or health care plans.
3. With respect to the form described in subsection 1, the Commissioner of Insurance shall:
(a) Hold public hearings to seek input regarding the development of the form;
(b) Develop the form in consideration of the input received pursuant to paragraph (a);
(c) Ensure that the form is developed in such a manner as to accommodate and reflect the different types of credentials applicable to different classes of providers of health care;
(d) Ensure that the form is developed in such a manner as to reflect standards of accreditation adopted by national organizations which accredit hospitals, medical facilities and health care plans; and
(e) Ensure that the form is developed to be used efficiently and is developed to be neither unduly long nor unduly voluminous.
4. As used in this section:
(a) “Carrier” has the meaning ascribed to it in NRS 689C.025.
(b) “Corporation” means a corporation operating pursuant to the provisions of chapter 695B of NRS.
(c) “Health maintenance organization” has the meaning ascribed to it in NRS 695C.030.
(d) “Insurer” means:
(1) An insurer that issues policies of individual health insurance in accordance with chapter 689A of NRS; and
(2) An insurer that issues policies of group health insurance in accordance with chapter 689B of NRS.
(e) “Managed care organization” has the meaning ascribed to it in NRS 695G.050.
(f) “Provider of health care” means a provider of health care who is licensed pursuant to chapter 630, 631, 632 or 633 of NRS.
(g) “Society” has the meaning ascribed to it in NRS 695A.044.
Last modified: February 27, 2006