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Compliance Corner: Nevada Duties of Health Care Providers Required to File Claims

10 Apr, 2024 Frank Ferreri

las vegas 1620961 640
                               

Reno, NV (WorkersCompensation.com) -- In Nevada, health care providers who are required to file claims for compensation must handle some obligations as part of the claim process. Here's a look at what those duties involve.

A health care provider who is required to file a claim for compensation, shall:

+ Require the injured employee to complete the upper portion of the form designated in NAC 616A.480 as Form C-4, Employee’s Claim for Compensation/Report of Initial Treatment, including, without limitation, the name, address and telephone number of the employer of the injured employee and the name of the insurer or third-party administrator of the employer.

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+ Contact the employer or the insurer or third-party administrator of the employer to confirm the name and address of the insurer or third-party administrator.

+ Send a copy of the completed Form C-4 to the employer and to the insurer or third-party administrator of the employer.

+ Maintain, together with the completed Form C-4, documentation of the steps taken by the health care provider to verify that the insurer or third-party administrator is the insurer or third-party administrator of the employer.

If the health care provider is unable to confirm whether an insurer or third-party administrator is the insurer or third-party administrator of the employer within three working days after first providing treatment to an injured employee for a particular injury, the health care provider shall:

+ Contact the nearest office of the Division by telephone at (702) 486-9000 for Las Vegas, Nevada, or at (775) 684-7260 for Carson City, Nevada; and

+ If requested by the Division, provide a copy of the completed Form C-4 and documentation of the steps taken to verify that the insurer or third-party administrator is the insurer or third-party administrator of the employer.

Under Nevada law, “health care provider” means a physician, chiropractic physician, physician assistant or advanced practice registered nurse.


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    About The Author

    • Frank Ferreri

      Frank Ferreri, M.A., J.D. covers workers' compensation legal issues. He has published books, articles, and other material on multiple areas of employment, insurance, and disability law. Frank received his master's degree from the University of South Florida and juris doctor from the University of Florida Levin College of Law.

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