The Nevada Division of Industrial Relations has determined that meals and lodging for attending physician appointments will be paid at per diem reimbursement rates set by the U.S. General Services Administration. The rates vary by season and by the city or county that is your destination. Your request for reimbursement for meals and lodging should be made on the mileage reimbursement form you use to request mileage payments from the insurer. Please note that the rates also vary for meals depending on whether it is your first or last day of travel. Most rates for meals are about $65 - $70 a day for three meals.