NAC695C.540. Contract for evaluation of credentials of providers.

     1. An organization may enter into a contract with a delivery system intermediary for evaluating the credentials of those providers who will provide health care services to the members of the organization. The contract must include a provision which requires the delivery system intermediary to comply with the requirements established by the organization for evaluating the credentials of providers.

     2. The organization has the exclusive authority to reject or terminate a contract with any provider who fails to comply with requirements established by the organization pursuant to subsection 1.

     3. The organization shall, at least annually, verify that the delivery system intermediary is in compliance with the requirements established by the organization pursuant to subsection 1.

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