“Prior authorization” means:
- 1. Any process by which a health carrier determines, before medical care or dental care that is otherwise covered by the health carrier is provided to an insured, that the medical care or dental care is medically necessary or medically appropriate with respect to the particular insured; or
- 2. Any requirement that an insured or a provider of health care of the insured notify the health carrier before medical or dental care is provided to the insured.
(Added to NRS by 2025, 3110)