Claims for Compensation

NAC 616C.070. “Insurer” defined.

NAC 616C.072. “Employer” and “notified” interpreted.

NAC 616C.073. Claims: Forms; filing; electronic transmission.

NAC 616C.076. Form of claim for death benefits.

NAC 616C.079. Execution of medical releases by injured employee.

NAC 616C.080. Duties of physician, chiropractor or medical facility required to file claim.

NAC 616C.082. Documents concerning claims; action on filings.

NAC 616C.085. Log of claims.

NAC 616C.088. File of employees’ claims: Maintenance; contents; retention.

NAC 616C.091. Notice of determination to accept or deny claim.

NAC 616C.092. Determination of unreasonable delay or refusal to pay claim.

NAC 616C.094. Notification of determination concerning request relating to claim.

NAC 616C.097. Statement on written notice of determination regarding disagreement with determination.

NAC 616C.103. Rating evaluation of injured employee: Requirements; award of payment; appeal.

NAC 616C.105. Rating evaluation of injured employee: Payment for cost of travel.

NAC 616C.109. Presence of representative during rating evaluation.

NAC 616C.112. Notice of intention to close claim.

NAC 616C.115. Expenses of investigation.

NAC 616C.1156. Claim received for employer to whom insurer does not provide coverage: Copy of claim to Administrator.

Medical Examinations

NAC 616C.116. Applicability of provisions.

NAC 616C.1162. Notification by insurer or employer of request for medical examination.

NAC 616C.1164. Provision by insurer or employer of copies of report of medical examination.

NAC 616C.1166. Payment of charges.

NAC 616C.1168. Payment for travel costs.

Accident Benefits

NAC 616C.117. Definitions.

NAC 616C.118. “Health care records” defined.

NAC 616C.119. “Provider of health care” defined.

NAC 616C.120. Right of injured employee to inspect or obtain health care records.

NAC 616C.123. Occupational Medicine Practice Guidelines: Adoption by reference; annual review by Administrator; use.

NAC 616C.126. Treatment of injured employees in cases of emergency or severe trauma.

NAC 616C.129. Rules for treatment of injured employees by members of panel of physicians and chiropractors.

NAC 616C.138. Billing for provision of certain supplies and services.

NAC 616C.141. Requirements for programs of treatment billed under certain codes; use of codes in billing; contents of bills for certain office visits.

NAC 616C.143. Consultation or treatment provided outside State: Prior written authorization; treatment in cases of emergency.

NAC 616C.145. Relative Values for Physicians: Adoption by reference; annual review by Administrator; compliance required.

NAC 616C.146. Relative Value Guide of the American Society of Anesthesiologists: Adoption by reference; annual review by Administrator; compliance required; use.

NAC 616C.147. Codes for surgical centers for ambulatory patients.

NAC 616C.148. Reports by rating physician or chiropractor.

NAC 616C.149. Contents of bill to insurer; adoption by reference and annual review of ICD-9-CM codes; submission to insurer of order for services rendered.

Reimbursement for Costs of Transportation and Meals

NAC 616C.150. Eligibility and computation.

NAC 616C.153. Reimbursement for airfare.

NAC 616C.156. Limitations on reimbursements.

Contested Claims of Injured Employees

NAC 616C.260. Definitions.

NAC 616C.265. Hearing officer: Qualifications regarding education and experience.

NAC 616C.267. Hearing officer: Additional qualifications.

NAC 616C.269. Hearing officer: Training requirements.

NAC 616C.2691. Hearing or appeals officer: Professional conduct.

NAC 616C.2692. Hearing or appeals officer: Prohibited acts.

NAC 616C.2693. Limitation on communications between hearing or appeals officer and party or representative; disclosure.

NAC 616C.2694. “Conflict of interest” and “personal interest” interpreted.

NAC 616C.26941. Complaint of violation; investigation.

NAC 616C.26942. Appeals officer: Training requirements.

NAC 616C.2695. Special appeals officer: Qualifications; determination of assignment.

NAC 616C.270. Appeal to hearing officer.

NAC 616C.273. Explanation of right to appeal suspension of benefits.

NAC 616C.274. Form for requesting hearing before hearing officer or for notice of appeal; information required to be provided by insurer or third-party administrator.

NAC 616C.2745. Hearing on decision concerning accident benefits made by organization for managed care.

NAC 616C.275. Procedure for submission of contested claim directly to appeals officer.

NAC 616C.2753. Hearing or adjudication conducted by Hearings Division at request of another agency.

NAC 616C.2755. Assistance in interpreting English language during proceedings.

NAC 616C.277. Scheduling of prehearing conference by appeals officer.

NAC 616C.278. Additional conferences called by appeals officer; request for assignment of matter for mediation.

NAC 616C.279. Failure of party to appear.

NAC 616C.282. Failure to comply with regulations.

NAC 616C.2823. Failure to respond to request for determination.

NAC 616C.2825. Information required for appeal of a final determination.

NAC 616C.2827. Consolidation with pending case; request for consolidation; service; approval.

NAC 616C.284. Request for issuance of subpoena; approval or denial of request.

NAC 616C.285. Failure to comply with order or subpoena.

NAC 616C.291. Filing and service of documents.

NAC 616C.294. Proof of service.

NAC 616C.297. Requirements for filing and service of information.

NAC 616C.300. Service of copies of documents by insurer; submission of documents to Hearings Division; provision of documents to insurer.

NAC 616C.303. Papers and documents.

NAC 616C.305. Request or application to permit discovery by deposition, interrogatories or production of documents.

NAC 616C.306. Proposed findings of fact and conclusions of law; motion to amend.

NAC 616C.307. Evidence recorded on videotape, digitally or in any other electronic medium.

NAC 616C.309. Testimony by telephone.

NAC 616C.312. General requirements for motions.

NAC 616C.313. Motion for change of venue.

NAC 616C.315. Stay of decision of hearing officer.

NAC 616C.318. Continuances.

NAC 616C.320. Conduct of parties.

NAC 616C.321. Counsel of record.

NAC 616C.324. Counsel to be licensed to practice law.

NAC 616C.327. Rehearings.

NAC 616C.328. Judicial review.

NAC 616C.330. Records of hearings.

NAC 616C.333. Reimbursement for expenses incurred for attendance at hearing.

NAC 616C.334. Interpretation of certain terms used in NRS 616D.065; payment of certain costs by attorney or licensed representative.

NAC 616C.335. Petitions concerning regulations.

NAC 616C.336. Clarification of regulations and relief from strict application.

Licensing of Representatives for Contested Claims

NAC 616C.350. Definitions.

NAC 616C.353. Application for license; necessary documentation; persons required to comply.

NAC 616C.356. Information concerning prior licensing of applicant.

NAC 616C.359. Examination required; exception; payment of fee for licensure.

NAC 616C.362. Verification of information provided by applicant; misstatement as ground for denial of license or disciplinary action.

NAC 616C.365. Maintenance of place of business; notification of address and telephone number; submission of agreement for compensation.

NAC 616C.368. Grounds for revocation, limitation, suspension or refusal to renew license.

NAC 616C.372. Notice to licensee of revocation, limitation, suspension or refusal to renew license; rehearing.

NAC 616C.374. Relicensing after revocation of license.

NAC 616C.377. Surrender of license upon revocation or suspension.

Uninsured Employers

NAC 616C.393. Investigation of claim against uninsured employer: Report of findings; information to be sent to Administrator.

NAC 616C.396. Investigation of claim against uninsured employer: Conditions for refusal to assign claims; notice of right of appeal.

NAC 616C.399. Billing of claims assigned to designated third-party administrator or insurer; reimbursement of Uninsured Employers’ Claim Account.

NAC 616C.402. Notice of closure or reopening of claim.

NAC 616C.405. Investigation and administration of claim by employee of uninsured employer.

NAC 616C.408. Payment of attorney’s fees.