Nevada Administrative Code (Last Updated: January 6, 2015) |
Chapter695C Health Maintenance Organizations; Provider-Sponsored Organizations |
GENERAL PROVISIONS |
NAC695C.090. “Uncovered expenditures” defined.
Latest version.
- “Uncovered expenditures” means the cost of those services, including services provided during an emergency, rendered by a provider and paid for by an organization during its operation for which:
1. There is no agreement between the provider and organization to release the enrollee from liability for the cost of those services; and
2. The enrollee may be liable for payment should the organization become insolvent.
(Added to NAC by Comm’r of Insurance, eff. 6-11-86)