reglab/housing_qa huggingface dataset:
NV Rev Stat § 616C.120 (2021)
2021 Nevada Revised Statutes|Chapter 616C - Industrial Insurance: Benefits for Injuries or Death|NRS 616C.120 - Employee may elect treatment through prayer in lieu of medical treatment.

Any provision of this chapter or chapter 616A, 616B, 616D or 617 of NRS must not prevent an employee from providing for treatment for the employee’s injuries or disease through prayer or other spiritual means in accordance with the tenets and practices of a recognized church, which treatment is recognized in this State in lieu of medical treatment.  (Added to NRS by 1973, 1595; A 1999, 220)
NV Rev Stat § 616C.125 (2021)
2021 Nevada Revised Statutes|Chapter 616C - Industrial Insurance: Benefits for Injuries or Death|NRS 616C.125 - Insurer may contract with suppliers for provision of services and goods to injured employees.

An insurer may contract with suppliers to provide services and goods to injured employees. Such contracts may provide for the exclusive provision of specified services or goods to injured employees.  (Added to NRS by 1987, 2148; A 1989, 1429; 1993, 714) — (Substituted in revision for NRS 616.344)
NV Rev Stat § 616C.130 (2021)
2021 Nevada Revised Statutes|Chapter 616C - Industrial Insurance: Benefits for Injuries or Death|NRS 616C.130 - Insurer’s payment to physician or chiropractor attending injured employee conditioned upon receipt of itemized statement and certificate.

The insurer shall not authorize the payment of any money to a physician or chiropractor for services rendered by the physician or chiropractor, as applicable, in attending an injured employee until an itemized statement for the services has been received by the insurer accompanied by a certificate of the physician or chiropractor stating that a duplicate of the itemized statement has been filed with the employer of the injured employee.  (Added to NRS by 1957, 232; A 1981, 1167, 1471; 1985, 1543; 1997, 1435)
NV Rev Stat § 616C.135 (2021)
2021 Nevada Revised Statutes|Chapter 616C - Industrial Insurance: Benefits for Injuries or Death|NRS 616C.135 - Liability of insurer for payment of charges for treatment related to industrial injury or occupational disease; acceptance of payment by provider of health care from injured employee or health or casualty insurer for treatment that was erroneously denied.

  1. A provider of health care who accepts a patient as a referral for the treatment of an industrial injury or an occupational disease may not charge the patient for any treatment related to the industrial injury or occupational disease, but must charge the insurer. The provider of health care may charge the patient for any services that are not related to the employee’s industrial injury or occupational disease.  2. The insurer is liable for the charges for approved services related to the industrial injury or occupational disease if the charges do not exceed:  (a) The fees established in accordance with NRS 616C.260 or the usual fee charged by that person or institution, whichever is less; and  (b) The charges provided for by the contract between the provider of health care and the insurer or the contract between the provider of health care and the organization for managed care.  3. A provider of health care may accept payment from an injured employee or from a health or casualty insurer paying on behalf of the injured employee pursuant to NRS 616C.138 for treatment or other services that the injured employee alleges are related to the industrial injury or occupational disease.  4. If a provider of health care, an organization for managed care, an insurer or an employer violates the provisions of this section, the Administrator shall impose an administrative fine of not more than $250 for each violation.  (Added to NRS by 1983, 1291; A 1985, 574; 1991, 2407; 1993, 715; 2001, 1894, 2738, 2742; 2005, 237, 1265)
NV Rev Stat § 616C.137 (2021)
2021 Nevada Revised Statutes|Chapter 616C - Industrial Insurance: Benefits for Injuries or Death|NRS 616C.137 - Denial of payment for unrelated services: Requirements for notification; liability of injured employee; appeal.

  1. If an insurer, organization for managed care or employer who provides accident benefits for injured employees pursuant to NRS 616C.265 denies payment for some or all of the services itemized on a statement submitted by a provider of health care on the sole basis that those services were not related to the employee’s industrial injury or occupational disease, the insurer, organization for managed care or employer shall, at the same time that it sends notification to the provider of health care of the denial, send a copy of the statement to the injured employee and notify the injured employee that it has denied payment. The notification sent to the injured employee must:  (a) State the relevant amount requested as payment in the statement, that the reason for denying payment is that the services were not related to the industrial injury or occupational disease and that, pursuant to subsection 2, the injured employee will be responsible for payment of the relevant amount if the injured employee does not, in a timely manner, appeal the denial pursuant to NRS 616C.305 and 616C.315 to 616C.385, inclusive, or appeals but is not successful.  (b) Include an explanation of the injured employee’s right to request a hearing to appeal the denial pursuant to NRS 616C.305 and 616C.315 to 616C.385, inclusive, and a suitable form for requesting a hearing to appeal the denial.  2. An injured employee who does not, in a timely manner, appeal the denial of payment for the services rendered or who appeals the denial but is not successful is responsible for payment of the relevant charges on the itemized statement.  3. To succeed on appeal, the injured employee must show that the:  (a) Services provided were related to the employee’s industrial injury or occupational disease; or  (b) Insurer, organization for managed care or employer who provides accident benefits for injured employees pursuant to NRS 616C.265 gave prior authorization for the services rendered and did not withdraw that prior authorization before the services of the provider of health care were rendered.  (Added to NRS by 2001, 2737)
NV Rev Stat § 616C.140 (2021)
2021 Nevada Revised Statutes|Chapter 616C - Industrial Insurance: Benefits for Injuries or Death|NRS 616C.140 - Medical examination of claimant; effect of refusal to submit to examination; communications not privileged.

  1. Any employee who is entitled to receive compensation under chapters 616A to 616D, inclusive, of NRS shall, if:  (a) Requested by the insurer or employer; or  (b) Ordered by an appeals officer or a hearing officer,  submit to a medical examination at a time and from time to time at a place reasonably convenient for the employee, and as may be provided by the regulations of the Division.  2. If the insurer has reasonable cause to believe that an injured employee who is receiving compensation for a permanent total disability is no longer disabled, the insurer may request the employee to submit to an annual medical examination to determine whether the disability still exists. The insurer shall pay the costs of the examination.  3. The request or order for an examination must fix a time and place therefor, with due regard for the nature of the medical examination, the convenience of the employee, the employee’s physical condition and the employee’s ability to attend at the time and place fixed.  4. The employee is entitled to have a physician or chiropractor, provided and paid for by the employee, present at any such examination.  5. If the employee refuses to submit to an examination ordered or requested pursuant to subsection 1 or 2 or obstructs the examination, the right of the employee to compensation is suspended until the examination has taken place, and no compensation is payable during or for the period of suspension.  6. Any physician or chiropractor who makes or is present at any such examination may be required to testify as to the result thereof.  [67:168:1947; 1943 NCL § 2680.67] + [68:168:1947; 1943 NCL § 2680.68] — (NRS A 1975, 763; 1977, 314; 1979, 1054; 1981, 1169, 1197, 1489, 1830; 1985, 1546; 1993, 735, 1869; 1995, 579; 1997, 1394)
NV Rev Stat § 616C.145 (2021)
2021 Nevada Revised Statutes|Chapter 616C - Industrial Insurance: Benefits for Injuries or Death|NRS 616C.145 - Independent medical examination of claimant; limitations; payment by insurer; applicability.

  1. An injured employee may obtain an independent medical examination:  (a) Except as otherwise provided in subsections 2 and 3, whenever a dispute arises from a determination issued by the insurer regarding the approval of care, the direction of a treatment plan or the scope of the claim;  (b) Within 30 days after an injured employee receives any report generated pursuant to a medical examination requested by the insurer pursuant to NRS 616C.140; or  (c) At any time by leave of a hearing officer or appeals officer after the denial of any therapy or treatment.  2. An injured employee is entitled to an independent medical examination pursuant to paragraph (a) of subsection 1 only:  (a) For a claim for compensation that is open;  (b) When the closure of a claim for compensation is under dispute pursuant to NRS 616C.235; or  (c) When a hearing or appeal is pending pursuant to NRS 616C.330 or 616C.360.  3. An injured employee is entitled to only one independent medical examination per calendar year pursuant to paragraph (a) of subsection 1.  4. Except as otherwise provided in subsection 5, an independent medical examination must not involve treatment and must be conducted by a physician or chiropractor selected by the injured employee from the panel of physicians and chiropractors established pursuant to subsection 1 of NRS 616C.090.  5. If the dispute concerns the rating of a permanent disability, an independent medical examination may be conducted by a rating physician or chiropractor. The injured employee must select the next rating physician or chiropractor in rotation from the list of qualified physicians and chiropractors maintained by the Administrator pursuant to subsection 2 of NRS 616C.490, unless the insurer and the injured employee otherwise agree to a rating physician or chiropractor.  6. The insurer shall:  (a) Pay the costs of any independent medical examination conducted pursuant to this section in accordance with NRS 616C.260; and  (b) Upon request, receive a copy of any report or other document that is generated as a result of the independent medical examination.  7. The provisions of this section do not apply to an independent medical examination ordered by a hearing officer pursuant to subsection 3 of NRS 616C.330 or by an appeals officer pursuant to subsection 3 of NRS 616C.360.  (Added to NRS by 2017, 1160)
NV Rev Stat § 616C.150 (2021)
2021 Nevada Revised Statutes|Chapter 616C - Industrial Insurance: Benefits for Injuries or Death|NRS 616C.150 - Compensation prohibited unless preponderance of evidence establishes that injury arose out of and in course of employment; rebuttable presumption if notice of injury is filed after termination of employment.

  1. An injured employee or the dependents of the injured employee are not entitled to receive compensation pursuant to the provisions of chapters 616A to 616D, inclusive, of NRS unless the employee or the dependents establish by a preponderance of the evidence that the employee’s injury arose out of and in the course of his or her employment.  2. For the purposes of chapters 616A to 616D, inclusive, of NRS, if the employee files a notice of an injury pursuant to NRS 616C.015 after his or her employment has been terminated for any reason, there is a rebuttable presumption that the injury did not arise out of and in the course of his or her employment.  (Added to NRS by 1993, 662) — (Substituted in revision for NRS 616.5015)
NV Rev Stat § 616C.155 (2021)
2021 Nevada Revised Statutes|Chapter 616C - Industrial Insurance: Benefits for Injuries or Death|NRS 616C.155 - Payment of compensation by insurer prohibited before required; recovery of overpayment by insurer.

  1. An insurer shall not provide compensation to or for an employee or the dependents of the employee before the compensation is required to be paid pursuant to the provisions of chapters 616A to 616D, inclusive, of NRS.  2. If, within 30 days after a payment is made to an injured employee pursuant to the provisions of chapters 616A to 616D, inclusive, of NRS, the insurer determines that it has overpaid the injured employee as a result of a clerical error in its calculation of the amount of payment, or as a result of using improper or incorrect information to determine the injured employee’s eligibility for payment or to calculate the amount of payment, the insurer may deduct the amount of the overpayment from future benefits related to that claim to which the injured employee is entitled, other than accident benefits, if:  (a) The insurer notifies the injured employee in writing of its determination;  (b) The insurer informs the injured employee of the injured employee’s right to contest the deduction; and  (c) The injured employee fails to contest the deduction or does so and upon final resolution of the contested deduction, it is determined that such an overpayment was made.  3. Any deductions made pursuant to subsection 2 must be made in a reasonable manner which does not cause undue hardship to the injured employee.  (Added to NRS by 1993, 662) — (Substituted in revision for NRS 616.5017)
NV Rev Stat § 616C.157 (2021)
2021 Nevada Revised Statutes|Chapter 616C - Industrial Insurance: Benefits for Injuries or Death|NRS 616C.157 - Request for prior authorization: Time to respond; effect of failure to respond in timely manner.

  1. An insurer, organization for managed care or third-party administrator shall respond to a written request for prior authorization for:   (a) Treatment;   (b) Diagnostic testing; or   (c) Consultation,   within 5 working days after receiving the written request.  2. If the insurer, organization for managed care or third-party administrator fails to respond to such a request within 5 working days, authorization shall be deemed to be given. The insurer, organization for managed care or third-party administrator may subsequently deny authorization.   3. If the insurer, organization for managed care or third-party administrator subsequently denies a request for authorization submitted by a provider of health care for additional visits or treatments, it shall pay for the additional visits or treatments actually provided to the injured employee, up to the number of treatments for which payment is requested by the provider of health care before the denial of authorization is received by the provider.  (Added to NRS by 1999, 2214)
NV Rev Stat § 616C.160 (2021)
2021 Nevada Revised Statutes|Chapter 616C - Industrial Insurance: Benefits for Injuries or Death|NRS 616C.160 - Newly developed injury or disease: Inclusion in original claim for compensation; limitation.

If, after a claim for compensation is filed pursuant to NRS 616C.020:  1. The injured employee seeks treatment from a physician or chiropractor for a newly developed injury or disease; and  2. The employee’s medical records for the injury reported do not include a reference to the injury or disease for which treatment is being sought, or there is no documentation indicating that there was possible exposure to an injury described in paragraph (b), (c) or (d) of subsection 2 of NRS 616A.265,  the injury or disease for which treatment is being sought must not be considered part of the employee’s original claim for compensation unless the physician or chiropractor establishes by medical evidence a causal relationship between the injury or disease for which treatment is being sought and the original accident.  (Added to NRS by 1993, 663; A 1999, 2447; 2001, 1016)
NV Rev Stat § 616C.165 (2021)
2021 Nevada Revised Statutes|Chapter 616C - Industrial Insurance: Benefits for Injuries or Death|NRS 616C.165 - Determination of responsibility of insurer for undisputed claim for compensation; reimbursement of insurer initially providing compensation to injured employee.

If responsibility for an undisputed claim for compensation by an injured employee is contested, the insurer to which the employee first submits the claim is responsible for providing the required compensation to the employee pending final resolution of the issue regarding which insurer is responsible for the claim. If the insurer that initially provides compensation to the injured employee is not held responsible for payment of the claim, the insurer that is held responsible shall reimburse that insurer within 30 days after final resolution of the issue of responsibility for payment of the claim.  (Added to NRS by 1995, 2122)
NV Rev Stat § 616C.170 (2021)
2021 Nevada Revised Statutes|Chapter 616C - Industrial Insurance: Benefits for Injuries or Death|NRS 616C.170 - Resolution of disputes between insurers if benefits are claimed against more than one insurer; adoption of regulations by Administrator; appeal of decision of Administrator; payment of benefits until determination of responsibility by Administrator.

  1. The Administrator shall resolve any disputes between insurers if an injured employee claims benefits against more than one insurer.  2. The Administrator shall adopt regulations concerning the resolution of disputes between insurers regarding benefits to be paid to any injured employee.  3. If the insurer or the employee is dissatisfied with the decision of the Administrator, the dissatisfied party may request a hearing before an appeals officer.  4. Until the Administrator has determined which insurer is responsible for a claim, the current insurer of the employer shall pay benefits to the claimant pursuant to chapters 616A to 617, inclusive, of NRS. Payments made by an insurer pursuant to this subsection are not an admission of liability for the claim or any portion of the claim.  (Added to NRS by 1995, 2002)
NV Rev Stat § 616C.175 (2021)
2021 Nevada Revised Statutes|Chapter 616C - Industrial Insurance: Benefits for Injuries or Death|NRS 616C.175 - Employment-related aggravation of preexisting condition which is not employment related; aggravation of employment-related injury by incident which is not employment related.

  1. The resulting condition of an employee who:  (a) Has a preexisting condition from a cause or origin that did not arise out of or in the course of the employee’s current or past employment; and  (b) Subsequently sustains an injury by accident arising out of and in the course of his or her employment which aggravates, precipitates or accelerates the preexisting condition,  shall be deemed to be an injury by accident that is compensable pursuant to the provisions of chapters 616A to 616D, inclusive, of NRS, unless the insurer can prove by a preponderance of the evidence that the subsequent injury is not a substantial contributing cause of the resulting condition.  2. The resulting condition of an employee who:  (a) Sustains an injury by accident arising out of and in the course of his or her employment; and  (b) Subsequently aggravates, precipitates or accelerates the injury in a manner that does not arise out of and in the course of his or her employment,  shall be deemed to be an injury by accident that is compensable pursuant to the provisions of chapters 616A to 616D, inclusive, of NRS, unless the insurer can prove by a preponderance of the evidence that the injury described in paragraph (a) is not a substantial contributing cause of the resulting condition.  (Added to NRS by 1993, 663; A 1995, 2147; 1999, 1777)
NV Rev Stat § 616C.177 (2021)
2021 Nevada Revised Statutes|Chapter 616C - Industrial Insurance: Benefits for Injuries or Death|NRS 616C.177 - Medical records concerning preexisting condition: Authority of insurer to request records; injured employee required to release records under certain circumstances.

  1. An insurer may inquire about and request medical records of an injured employee that concern a preexisting medical condition that is reasonably related to the industrial injury of that injured employee.  2. An injured employee must sign all medical releases necessary for the insurer of his or her employer to obtain information and records about a preexisting medical condition that is reasonably related to the industrial injury of the employee and that will assist the insurer to determine the nature and amount of workers’ compensation to which the employee is entitled.  (Added to NRS by 1999, 1775)
NV Rev Stat § 616C.185 (2021)
2021 Nevada Revised Statutes|Chapter 616C - Industrial Insurance: Benefits for Injuries or Death|NRS 616C.185 - Compensation for mastectomy and reconstructive surgery.

  1. If compensation is paid to an employee under chapters 616A to 616D, inclusive, of NRS for the surgical procedure known as a mastectomy, the employee is also entitled to receive commensurate compensation for at least two prosthetic devices and for reconstructive surgery incident to the mastectomy. Except as otherwise provided in subsection 2, this compensation is subject to the same requirements and conditions that apply to the compensation for the mastectomy.  2. If reconstructive surgery is begun within 3 years after a mastectomy, the amount of the compensation provided for that surgery must equal those amounts provided for in chapters 616A to 616D, inclusive, of NRS at the time of the mastectomy. If the surgery is begun more than 3 years after the mastectomy, the compensation provided is subject to the requirements and conditions that apply at the time of the reconstructive surgery.  3. For the purposes of this section, "reconstructive surgery" means a surgical procedure performed following a mastectomy on one breast or both breasts to re-establish symmetry between the two breasts. The term includes, but is not limited to, augmentation mammoplasty, reduction mammoplasty and mastopexy.  (Added to NRS by 1983, 617; A 1989, 1892) — (Substituted in revision for NRS 616.503)
NV Rev Stat § 616C.190 (2021)
2021 Nevada Revised Statutes|Chapter 616C - Industrial Insurance: Benefits for Injuries or Death|NRS 616C.190 - Compensation of employee injured out of State.

  1. Except as otherwise provided in subsection 4 of NRS 616B.600, if an employee who has been hired or is regularly employed in this State receives a personal injury by an accident arising out of and in the course of such employment outside of this State, the employee, or the dependents of the employee in case of the death of the employee, are entitled to receive compensation according to the law of this State, and such compensation is the exclusive remedy of the employee or dependents.  2. The provisions of this section apply only to those injuries received by the employee within 6 months after leaving this State, unless before the expiration of the 6-month period the employer has filed with the private carrier or, in the case of a self-insured employer or an association of self-insured public or private employers, with the Administrator notice that he or she has elected to extend the coverage for a greater period.  [Part 74:168:1947; A 1955, 187] — (NRS A 1981, 1168, 1488; 1989, 579; 1995, 2031; 1999, 1778)