Nevada insurance law requires prompt payment of clean claims and imposes 12% annual interest on late payments. This is one of the highest state rates and significantly compensates for payment delays.
Nevada NRS §687B.380 Payment Deadline
Nevada NRS §687B.380 requires health insurers to pay clean claims within 30 days of receipt. This applies to both electronic and paper submissions. The 30-day period begins when the insurer receives the claim at its processing facility.
12% Annual Interest on Late Nevada Claims
When an insurer fails to pay a clean claim within 30 days, Nevada law imposes 12% annual interest on the unpaid amount, accruing from day 31 onwards. This is one of the highest state interest rates and accumulates without requiring a separate demand notice.
Clean Claim Definition
Nevada law defines a "clean claim" as a claim that contains all required information and documentation necessary for processing. Understanding this definition helps you ensure your submission meets the state standard and qualifies for the 30-day payment deadline and interest protections.
Incomplete Claims and Resubmission
If you submit an incomplete claim, the insurer must identify deficiencies within 15 business days. Once you resubmit with complete information, a new 30-day payment period begins for both payment and interest calculation purposes.
Nevada Division of Insurance Enforcement
The Nevada Division of Insurance (DOI) enforces prompt pay requirements. Pattern violators are subject to market conduct reviews and penalties. You can file a complaint with the DOI if an insurer violates timely filing requirements.
How to Collect 12% Annual Interest on Late Nevada Claims
- Document the original claim submission date and proof of insurer receipt.
- Calculate 12% annual interest from day 31 on the unpaid claim amount.
- Send a written demand to the insurer citing Nevada NRS §687B.380 and the calculated interest.
- File a Nevada DOI complaint if the demand is not resolved within 20 days.
Altair tracks Nevada claims and automatically calculates interest owed so you recover the full amount.
Frequently Asked Questions
What interest rate does Nevada require on late claim payments?
Nevada NRS §687B.380 requires 12% annual interest on claims not paid within 30 days, accruing from day 31. This is one of the highest state rates.
How does Nevada define a "clean claim" for prompt pay purposes?
A clean claim contains all required information and documentation for processing. Nevada law uses this definition to determine whether the 30-day payment deadline and interest requirements apply.
What happens if Nevada insurers deny a claim as incomplete?
Insurers must identify deficiencies within 15 business days. Once you resubmit with complete information, a new 30-day payment period and interest clock begin.
Related Nevada Insurance Topics
- Nevada Balance Billing Protections
- Nevada Surprise Billing Protections
- Nevada Prior Authorization Rules
- All State Billing Laws