Quick answer: Nevada is a bifurcated state. Some disputes are governed by Nevada's own specified state law, while others default to the federal No Surprises Act IDR process depending on the plan type and service involved.
Nevada's specified state law applies to emergency services provided by an out-of-network facility or provider at an in-network facility, with predetermined payment amounts, except for critical access hospitals. The federal IDR process applies to critical access hospital claims, post-emergency treatment after 24 hours, non-emergency items at in-network facilities, and air ambulance services. Nevada is also one of six states that allows self-funded ERISA plans to voluntarily opt into the state process.
Federal No Surprises Act protections took effect January 1, 2022. State-specific protections vary — check the official source below for exact effective dates in this state.
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