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Current as of January 01, 2021 | Updated by FindLaw Staff
1. The following provisions apply to a claim for payment submitted for services provided by an oral and maxillofacial surgeon which may be covered, in whole or in part, by a stand-alone dental benefit and a policy of health insurance:
(a) If a claimant is covered by a stand-alone dental benefit and a policy of health insurance, the stand-alone dental benefit is the primary policy and the claim must be first submitted to the health insurer that issued the stand-alone dental benefit. The issuer of the secondary policy may not reduce benefits based upon payments under the primary policy, except to avoid overpayment to the oral and maxillofacial surgeon.
(b) Except as otherwise provided in paragraph (a), a health insurer may not deny a claim for which it has liability solely on the basis that another health insurer has liability to pay the claim.
2. The Commissioner may adopt regulations necessary to carry out the provisions of this section.
3. As used in this section:
(a) “Oral and maxillofacial surgeon” means a dentist who has been issued a specialist's license to practice oral and maxillofacial surgery pursuant to NRS 631.250 and who provides any of the services described in paragraph (c) of subsection 1 of NRS 631.215.
(b) “Stand-alone dental benefit” means any policy which only pays for or reimburses any part of the cost of dental care, as defined in NRS 695D.030, and is offered or issued separately from any policy of health insurance.
Cite this article: FindLaw.com - Nevada Revised Statutes Title 57. Insurance § 686A.313. Required coordination by multiple insurers for certain dental claims; denial of claim prohibited; regulations - last updated January 01, 2021 | https://codes.findlaw.com/nv/title-57-insurance/nv-rev-st-686a-313/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature or via Westlaw before relying on it for your legal needs.
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