Medicare telephone number manual#

(HMS) at: Mailing Address: HMS - NV Third Party Liability P.O. The Nevada Medicaid and Nevada Check Up contracted Managed Care Organizations (MCOs) are Anthem Blue Cross and Blue Shield Healthcare Solutions, Health Plan of Nevada and SilverSummit Healthplan. If you believe a recipient's private insurance or Medicare Replacement records are incorrect, please contact Health Management Systems, Inc. If you do not know who is the provider administrator is in your office, call the Customer Service Center at (877) 638-3472. The provider administrator must register as a “Provider” and will be responsible for creating delegates for that provider.

Note: For EVS, there can only be one provider administrator for each NPI/FEIN/zip code. Recipient eligibility, claim status, prior authorization status, provider payments Recipient eligibility, recent payments, claim status, and prior authorization information via phone State policy inquiries and Fair Hearing requests

Medicare telephone number manual#

To verify PA requirements, please refer to the Medicaid Services Manual (MSM) Chapter for your service type at dhcfp.nv.gov and the Billing Guide for your provider type at Customer Service Center For results that return “There are no records found based on the search criteria,” there may be a PA requirement if limits have been exceeded.

See Web Announcement 2501.Īttention Providers Using the Authorization Criteria Function: Results that return prior authorization (PA) requirements are accurate. Top 10 Enrollment Return Reasons and Resolutions for First Quarter 2021 Submissions. Top Prior Authorization Denial Reasons for the First Quarter of 2021. Top 10 Claim Denial Reasons and Resolutions/Workarounds for March 2021 Claims. 1-80: Mailing Address: Medicare Contact Center Operations. 1-800-Medicare (1-80) Phone number to replace a lost Medicare Card. Please refer to Web Announcement 1733 and Web Announcement 1829 for additional information. Contact: Website: : For specific billing questions about claims, records, and expenses. Paper claims are no longer accepted by Nevada Medicaid. Known Modernization System Issues-Click HERE