Medical Providers

New Form C-4A and Revised C-4 Form 8/2021

Note: Asterisk (*) beside provider name denotes telemedicine provider only

Each insurer is required to submit their treating provider list to DIR/WCS per NRS 616C.087(6)
Insurers are required to submit provider lists to DIR/WCS per NRS 616C.087(6); provider lists will only be accepted when submitted by insurers (not TPAs)
Each list must be certified by a claims adjuster licensed pursuant to NRS 684A per NRS 616C.087(6)
Insurers are requested to submit provider lists which are ADA compliant. For more information, see http://ada.nv.gov/home/Overview_ADA/
Provider lists must be submitted in PDF format
Provider lists must be emailed to medpanels@dir.nv.gov
- Include the insurer's name and that a provider list(s) are attached in the subject line. This will ease identification and expedite processing
Direct further questions and concerns to kgodwin@dir.nv.gov