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Through this easy-to-use internet portal, healthcare providers have access to useful information and tools regarding provider enrollment and revalidation, recipient eligibility, verification, prior authorization, billing instructions, pharmacy news and training opportunities.
Through this secure and easy to use internet portal, healthcare providers can submit claims and inquire on the status of their claims, inquire on a patient’s eligibility, upload files containing 837 transactions, and search for another provider.
Please login. Username. Password. Password should be 8-20 characters containing numbers, mixed case alphabets, and special characters.
The Division of Health Care Financing and Policy (DHCFP, AKA Nevada Medicaid) is procuring a Credentialing Verification Organization (CVO) to manage all credentialing for Nevada Medicaid. A one stop-shop for credentialing for Nevada Medicaid programs. Centralized Credentialling Information.
This page contains all of the information and forms you will need to become a Nevada Medicaid provider. If you have any questions, please contact the Provider Enrollment Unit at (877) 638-3472 from 8 a.m. to 5 p.m. Pacific Time Monday through Friday.
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 www.medicaid.nv.gov.
Discover the Online Provider Center (OPC). Check member eligibility and benefits, status of a claim or prior authorization, and more. It's all right here at your fingertips.
Access the Online Provider Center for Health Plan of Nevada.
Effective February 1, 2019, all providers will be required to submit their Electronic Data Interchange (EDI) enrollment application electronically via the Provider Web Portal [https://www.medicaid.nv.gov/hcp/provider], as paper EDI application submissions will no longer be accepted with the go-live of the new modernized Medicaid Management ...