Use our online provider directory to find medical providers nearby. To find a list of dental or vision providers, search our dental directory or vision directory. Language Assistance. English: If you, or someone you’re helping, has questions about SilverSummit Healthplan, you have the right to get help and information in your language at no cost. To talk to an interpreter, call 1-844-366-2880 (TTY/TDD 1 …Silver Summit Academy is a public, personalized, blended-learning school within the South Summit School District. The Academy provides a fully individualized STEAM (science, technology, engineering, art, math) focused education for K-12 students. Students at Silver Summit Academy utilize technology paired with face-to-face instruction to reach ...Phone Numbers for SilverSummit Healthplan Member Services The phone and fax lines listed in the Prior Authorization Process section are dedicated to clinicians requesting PA medication items only. Members cannot be assisted if they call the PA toll-free number. SilverSummit Member Services may be reached at 1-844-366-2880 (TTY 1-844-804-6086).Ambetter from SilverSummit Healthplan is underwritten by SilverSummit Healthplan, Inc. which is a Qualified Health Plan issuer in the Nevada Health Insurance Marketplace. This is a solicitation for insurance. ©2024 SilverSummit Healthplan, Inc., Ambetter.SilverSummitHealthplan.com. If you, or someone you’re helping, have ques. … www.silversummit.com Ambetter from SilverSummit Healthplan is underwritten by SilverSummit Healthplan, Inc. which is a Qualified Health Plan issuer in the Nevada Health Insurance Marketplace. This is a solicitation for insurance. ©2024 SilverSummit Healthplan, Inc., Ambetter.SilverSummitHealthplan.com. If you, or someone you’re helping, have ques. Expand ... Provider Signature: include lab reports with requests when appropriate. for prior authorization Solutions will (PA) WBC, etc.) or phone (e.g., Culture and Sensitivity; Hemoglobin. 72 hours of. necessary. information, except during weekends or. Incomplete A1C; Serum forms Creatinine; will delay. processing.2019. SilverSummit Healthplan Provider Scorecard Behavioral Health (PDF) SilverSummit Healthplan Provider Scorecard Physical Health (PDF) SilverSummit Healthplan provides tools & support our providers need to deliver the best quality of care for Nevada Medicaid beneficiaries. View our resources.Nevada Silversummit - Outpatient Treatment Request Form Author: Silver Summit Healthplan Subject: Outpatient Treatment Request Form Keywords: member, information, diagnosis, request, provider, symptoms Created Date: 5/11/2017 10:47:12 AMThe Request for Reconsideration or Claim Dispute must be submitted within 180 days for participating providers and 90 days for non-participating providers from the date on the original EOP or denial. Any photocopied, black & white, or handwritten claim forms, regardless of the submission type (first time, corrected claim, Request for ...SilverSummit Healthplan strives to supply our providers with update to date claim billing information and reference guides. For our current selection of guides and tip sheets, please see our claim reference guides below: Claims Processing – coming soon; Claim Status (PDF) Corrected Claims Reference Guide (PDF) (includes web portal submissions)SilverSummit Healthplan is a wholly-owned subsidiary of Centene Corporation, a Fortune 500 company. About Centene Centene is a diversified, multi-national healthcare enterprise that provides a portfolio of services to government-sponsored healthcare programs, focusing on under-insured and uninsured individuals.SilverSummit Healthplan’s Clinical Practice and Preventive Health Guidelines are listed below. All guidelines are reviewed annually and when new scientific evidence or national standards are published, approved by SiverSummit’s Quality Improvement Committee, and disseminated to providers via SiverSummit’s Provider newsletter and targeted ...SilverSummit Healthplan is a managed care organization that will provide healthcare services to Nevada Medicaid and Nevada Check Up members in Clark and Washoe counties. SilverSummit Healthplan has a commitment to improving the health of the community one individual at time. We're here to treat the whole person by breaking down barriers to ...SilverSummit Healthplan may extend this timeframe by up to an additional 14 calendar days if the member requests the extension or if SilverSummit Healthplan provides evidence satisfactory to the Department of Health Services (DHS) that a delay in rendering the decision is in the member’s interest. For any extension not requested by the member ...Ambetter from SilverSummit Healthplan is underwritten by SilverSummit Healthplan, Inc., which is a Qualified Health Plan issuer in the Nevada Health Insurance Marketplace.South Summit School District does not and shall not discriminate on the basis of race, color, religion, gender, gender expression, age, national origin, disability, marital status, sexual orientation or military status, in any of its activities or operations.Silver Summit Capital is a private investment and advisory firm that targets growth opportunities in technology enabled businesses. We are operationally focused investors who partner with leadership teams of Private Equity and Venture backed companies to accelerate growth and achieve outsized returns. We’re looking for innovation, hard work ...Contact us at 1-866-263-8134 ( TTY 1-855-868-4945) and we will work with you (and, if you wish, with your doctor) to find a wellness program with the same reward that is right for you in light of your health status. Use your member account to download your ID card, activate your My Health Pays® rewards account and more with Ambetter from ...SilverSummit Healthplan has a telephone language line available any time. To request an interpreter, call Member Services. The number is 1-844-366-2880, TTY: 1-844-804-6086, Relay 711. You can tell us the language you speak, and we will get an interpreter. They can be on the phone to help you call your healthcareIn addition, SilverSummit Healthplan may from time to time employ a vendor that applies payment policies to specific services; in such circumstances, the vendor's guidelines may also be used to determine whether a service has been correctly coded. Other policies (e.g., clinical policies) or contract terms may further determine whether a ...SilverSummit Healthplan (SilverSummit) is a managed care plan that provides health insurance to the people of Nevada. Established in 2017, SilverSummit exists to improve the health of its members ...On average, patients who use Zocdoc can search for an Optometrist who takes SilverSummit Healthplan insurance, book an appointment, and see the Optometrist within 24 hours. Same-day appointments are often available, you can search for real-time availability of Optometrists who accept SilverSummit Healthplan insurance and make an appointment online.Silver Summit Capital is a private investment and advisory firm that targets growth opportunities in technology enabled businesses. We are operationally focused investors who partner with leadership teams of Private Equity and Venture backed companies to accelerate growth and achieve outsized returns. We're looking for innovation, hard work ...Interested in joining our network as a SilverSummit Healthplan provider to help Nevada Medicaid members? Contact us and get started today. Skip to Main Content. 1-844-366-2880; Home; Find a Provider; Login; Careers; Contact Us; language. English; Español; አማርኛ (Amharic) العربية (Arabic) ...• SilverSummit Healthplan Approximately 75 percent of Nevada’s Medicaid population receive medical benefits through an MCO. With the addition of a fourth MCO …This is a solicitation for insurance. ©2024 SilverSummit Healthplan, Inc., Ambetter.SilverSummitHealthplan.com. If you, or someone you’re helping, have questions about Ambetter from SilverSummit Healthplan, and are not proficient in English, you have the right to get help and information in your language at no cost and in a timely …SilverSummit Healthplan was established in July 2017 to deliver quality healthcare through local, regional, and community-based resources. We strive to enhance the quality of care and support delivered to our members through an engaged and accountable network of qualified providers. Through advanced program innovationThe cybersecurity incident has created a service disruption impacting SilverSummit Healthplan members and provider network in several ways. As of now, Change Healthcare has not provided a timeline for resolution. To protect our members and providers, SilverSummit Healthplan fully disconnected system access to and from …Behavioral Health Forms. For applicable service requests, please include the following clinical documentation: LOCUS/CASII Score and Intensity of Needs Level. Discharge Summaries should be faxed to 1-866-535-6974. SilverSummit Healthplan provides tools and support our providers need to deliver the best quality of care for Nevada Medicaid ...Ambetter offers Marketplace plans with different metal levels and benefits for Nevada residents. Compare Bronze, Silver, Gold and Value plans and enroll through Nevada Health Link.4 The OTC Health Solutions App in store The OTC Health Solutions App makes it more convenient and quick to ring up items at a store. It is as easy as 1, 2, 3. • Approved items • Non-approved itemsThe latest Initial Diagnostic Interview (IDI) and, if applicable, the Functional Behavioral Assessment (FBA) is required. For initial treatment plan please submit: For subsequent treatment requests please submit: • Objective testing showing significant behavioral deficit. • Objective measures of current status.Skip to main content2019. SilverSummit Healthplan Provider Scorecard Behavioral Health (PDF) SilverSummit Healthplan Provider Scorecard Physical Health (PDF) SilverSummit Healthplan provides tools & support our providers need to deliver the best quality of care for Nevada Medicaid beneficiaries. View our resources.SilverSummit Healthplan Member Services Department at 1-855-252-0568 or mail it o Sit lverSummit Healthplan Member Servic es, 2500 North Buffa lo D ri ve, Sui te 50, Las V gas, NV 891 8. If you ha e qu stions about how o comp e this fo m or want to make this request over the phone, please call the SilverSummit Healthplan Member Services ...Mar 6, 2024 · Most insurers provide coverage for video visits at the same cost as in-person visits. You can search on Zocdoc specifically for Doctors who accept SilverSummit Healthplan for video visits by selecting your carrier and plan from the drop-down menu at the top of the page. We recommend you check with your insurance carrier directly to confirm your ... We would like to show you a description here but the site won’t allow us.We would like to show you a description here but the site won’t allow us.Enroll in Start Smart for Your Baby. $50. Notification of pregnancy form (completed in first trimester) $25. Notification of pregnancy form (completed in second trimester) $30. See doctor while pregnant ($10 per visit for 3 visits) $30. See doctor after baby is born ($10 per visit for 3 visits completed 21–56 days after delivery)Physical and Occupational Therapy Network Changes Notification (PDF) Let’s Talk Therapy Services. External Link. Motivated Kids. External Link. Optimal Physical Therapy. External Link. Speakeasy Therapy Services. External Link.LAS VEGAS, Nov. 4, 2020 /PRNewswire/ -- Beginning November 1, 2020 through January 15, 2021, Nevada residents may select Ambetter from SilverSummit Healthplan for … Thank you for your interest in the Nevada Medicaid and Nevada Check Up Program. 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. Free SilverSummit Health Resource Fair. AUGUST 13TH. 4 p.m. - 8 p.m. Come join us at our SilverSummit Resource Fair! Enjoy music, games, food, prizes, and more while you connect with resources so you can get benefits like school physicals, immunizations, and health screenings. Boys & Girls Club of Truckee Meadows 1300 Foster Drive, Reno NV 89509.SilverSummit Healthplan oversees the NIA program and is responsible for claims adjudication. NIA manages non-emergent outpatient imaging/radiology services through contractual relationships with free-standing facilities. Prior authorization is required for the following outpatient radiology procedures:SilverSummit Healthplan is a Nevada Medicaid provider that offers benefits and services to help you support your health and that of your family. You can earn dollar rewards for doctor appointments, healthy activities, and …Ambetter from SilverSummit Healthplan is underwritten by SilverSummit Healthplan, Inc. which is a Qualified Health Plan issuer in the Nevada Health Insurance Marketplace. This is a solicitation for insurance. ©2024 SilverSummit Healthplan, Inc., Ambetter.SilverSummitHealthplan.com. If you, or someone you're helping, have ques. Expand ...After months of conversations between the governor’s office, the insurer and the state Division of Insurance, Sandoval and SilverSummit announced Tuesday morning that residents across all of Nevada’s counties will have at least one insurance option on the state’s health-care exchange next year after the health plan agreed to step in to cover 14 …SilverSummit Healthplan is a wholly-owned subsidiary of Centene Corporation, a Fortune 500 company. About Centene Centene is a diversified, multi-national healthcare enterprise that provides a portfolio of services to government-sponsored healthcare programs, focusing on under-insured and uninsured individuals.Ambetter from SilverSummit Healthplan is underwritten by SilverSummit Healthplan, Inc. which is a Qualified Health Plan issuer in the Nevada Health Insurance Marketplace. This is a solicitation for insurance. ©2024 SilverSummit Healthplan, Inc., Ambetter.SilverSummitHealthplan.com. If you, or someone you're helping, have ques. Expand ...Ambetter from SilverSummit Healthplan is underwritten by SilverSummit Healthplan, Inc. which is a Qualified Health Plan issuer in the Nevada Health Insurance Marketplace. This is a solicitation for insurance. ©2024 SilverSummit Healthplan, Inc., Ambetter.SilverSummitHealthplan.com. If you, or someone you're helping, have ques. Expand ...Our case managers can help get your medical records transferred to your new doctor. Call our Member Services department toll-free at 1-844-366-2880 (TTY/TDD 1-844-804-6086) if you have questions about transitioning your care. Learn more about how to switch Nevada Medicaid healthcare plans to SilverSummit Healthplan. Visit us online today.Ambetter from SilverSummit Healthplan is underwritten by SilverSummit Healthplan, Inc. which is a Qualified Health Plan issuer in the Nevada Health Insurance Marketplace. This is a solicitation for insurance. ©2024 SilverSummit Healthplan, Inc., Ambetter.SilverSummitHealthplan.com. If you, or someone you’re helping, have ques. …Ambetter from SilverSummit Healthplan is underwritten by SilverSummit Healthplan, Inc. which is a Qualified Health Plan issuer in the Nevada Health Insurance Marketplace. This is a solicitation for insurance. ©2024 SilverSummit Healthplan, Inc., Ambetter.SilverSummitHealthplan.com. If you, or someone you're helping, have ques. Expand ...SilverSummit Healthplan is a wholly-owned subsidiary of Centene Corporation, a Fortune 500 company. About Centene Centene is a diversified, multi-national healthcare enterprise that provides a portfolio of services to government-sponsored healthcare programs, focusing on under-insured and uninsured individuals.SilverSummit and PaySpan Health are in a partnership to provide an innovative web based solution for Electronic Funds Transfers (EFTs) and Electronic Remittance Advices (ERAs). This service is provided at no cost to providers and allows online enrollment. Using this free service, providers can take advantage of EFTs and ERAs to settle claimsAllwell from SilverSummit Healthplan. Address: 2500 N. Buffalo Drive, Suite 250 Las Vegas, NV 89128 Website: allwell.silversummithealthplan.com Provider Services . Phone: 1-833-854-4766 (TTY: 711) Member Services Phone: 1-833-854-4766 (TTY: 711) From . October 1 - March 31, you can call us 7Find SilverSummit Healthplan Ear, Nose & Throat Doctors & Providers with verified reviews. Make an appointment online instantly with Ear, Nose & Throat Doctors that accept SilverSummit Healthplan insurance. It's free! All appointment times are guaranteed by our SilverSummit Healthplan Ear, Nose & Throat Doctors & Providers.Ambetter from SilverSummit Healthplan is underwritten by SilverSummit Healthplan, Inc. which is a Qualified Health Plan issuer in the Nevada Health Insurance Marketplace. This is a solicitation for insurance. ©2024 SilverSummit Healthplan, Inc., Ambetter.SilverSummitHealthplan.com. If you, or someone you’re helping, have ques. …Download SilverSummit Healthplan and enjoy it on your iPhone, iPad, and iPod touch. For Medicaid members in Nevada, the SilverSummit Healthplan app puts your health plan in your pocket. With the app, you can: - Find a healthcare provider or facility - View your ID card - Check your My Health Pays balance and history Experience the power and ...2019. SilverSummit Healthplan Provider Scorecard Behavioral Health (PDF) SilverSummit Healthplan Provider Scorecard Physical Health (PDF) SilverSummit Healthplan provides tools & support our providers need to deliver the best quality of care for Nevada Medicaid beneficiaries. View our resources.Welcome to the SilverSummit Healthplan page. The documents below have been designed to help RadMD users navigate the prior authorization process for each program Evolent (formerly National Imaging Associates, Inc.) is responsible for. Additional process-specific training tools and modules can be found via links on the Resources tab at the top ...SilverSummit Healthplan is a managed care plan that provides health insurance to the people of Nevada. Established in 2017, SilverSummit exists to improve the health of its members through focused ...SilverSummit Healthplanonly accepts the CMS 1500 (2/12) and CMS 1450 (UB-04) paper claim forms. Other claim form types will be rejected and returned to the provider. Professional providers and medical suppliers complete the CMS 1500 (2/12) form and institutional providers complete the CMS 1450 (UB-04) claim form. SilverSummit HealthplanIn addition, SilverSummit Healthplan may from time to time employ a vendor that applies payment policies to specific services; in such circumstances, the vendor's guidelines may also be used to determine whether a service has been correctly coded. Other policies (e.g., clinical policies) or contract terms may further determine whether a ...Phone Numbers for SilverSummit Healthplan Member Services . The phone and fax lines listed in the Prior Authorization Process section are dedicated to clinicians requesting PA medication items only. Members cannot be assisted if they call the PA toll-free number. SilverSummit Member Services may be reached at 1-844-366-2880 (TTY 1-844-804 …SilverSummit Healthplan oversees the NIA program and is responsible for claims adjudication. NIA manages non-emergent outpatient imaging/radiology services through contractual relationships with free-standing facilities. Prior authorization is required for the following outpatient radiology procedures:SilverSummit Healthplan is a managed care organization (MCO) that serves the needs of Nevada residents through a range of health insurance solutions. SilverSummit Healthplan serves the Medicaid populations, as well as under-insured and uninsured individuals through its federal Health Insurance Marketplace plan, Ambetter. SilverSummit Healthplan ...The phone number is 1-844-366-2880, TTY: 1-844-804-6086, Relay 711. There is more information about this later in the handbook. See the “Prior Authorization for Services” section. Some other benefits you can use are telemedicine, telemonitoring and telehealth.We would like to show you a description here but the site won't allow us.SilverSummit Healthplan is a managed care plan that delivers quality health insurance to the people of Nevada. Established in 2017, SilverSummit is committed to improving the health of its members through focused, compassionate, and coordinated care. SilverSummit's active community evolvement reaches beyond physical and mental health.Look for SilverSummit providers in your area. Co pays . There are no co-pays for covered services. Customer Service . 24/7 Nurse Advice Line; Who is SilverSummit best for . SilverSummit might be ideal for those looking to maximize wellness. They heavily incentivize a healthy lifestyle and preventative measures. Ambetter from SilverSummit Healthplan is underwritten by SilverSummit Healthplan, Inc. which is a Qualified Health Plan issuer in the Nevada Health Insurance Marketplace. This is a solicitation for insurance. ©2024 SilverSummit Healthplan, Inc., Ambetter.SilverSummitHealthplan.com. If you, or someone you’re helping, have ques. Expand ... Member Handbooks and Forms. 2024 Member Handbook - English (PDF) 2023 Member Handbook - English (PDF) 2022 Member Handbook - English (PDF) 2021 Member Handbook - English (PDF)) 2020 Member Handbook - English (PDF) Disenrollment Update (PDF) Notification Of Pregnancy Form (PDF) General Health Risk Screening Form (PDF)Oct 25, 2023 · Scan code to learn more about all of these free extra benefits and our Dollar Rewards Program or call Member Services at 1-844-366-2880. Mental Health Services. Same Day Access and immediate access to crisis and triage services. Housing assistance Chemical dependency assessments. DMEs, Home Health, Endocrinology, Rheumatology, Pulmonary, Allergy, PCP Provider Group or Last Name U-Z. 702-274-9536. [email protected]. I have been in the healthcare industry for over 10 years assisting members and providers on working together to navigate through this healthcare system in Southern Nevada. Thank you for your interest in participating with SilverSummit Healthplan. We are excited that you selected our provider network as your network of choice. We would like to build the best network to meet member needs. To join our network, please click here. Ambetter from SilverSummit Healthplan is underwritten by SilverSummit Healthplan, Inc. which is a Qualified Health Plan issuer in the Nevada Health Insurance Marketplace. This is a solicitation for insurance. ©2024 SilverSummit Healthplan, Inc., Ambetter.SilverSummitHealthplan.com. If you, or someone you're helping, have ques. Expand ...Practitioners who have identified a member who they think would benefit from disease or case management should contact the Care Coordination Department to speak with a member of our Integrated Care Team at 1-844-366-2880. SilverSummit Healthplan's Integrated Care Teams are available to assist members with their individual needs.Ambetter from SilverSummit Healthplan is underwritten by SilverSummit Healthplan, Inc., which is a Qualified Health Plan issuer in the Nevada Health Insurance Marketplace.your SilverSummit ID card available. The operator will need your Member ID number to complete the order. After your order is complete, your item(s) should arrive in 5 to 12 business days. 1 Stay healthy, save money. As a commitment to your health and well-being, SilverSummit HealthPlan offers members an additionalWe would like to show you a description here but the site won't allow us. The phone number is 1-844-366-2880, TTY: 1-844-804-6086, Relay 711. There is more information about this later in the handbook. See the “Prior Authorization for Services” section. Some other benefits you can use are telemedicine, telemonitoring and telehealth. Always Covered. SilverSummit Healthplan offers affordable individual and family health insurance plans that fit your unique needs. Program eligibility depends on your: Age. Income. Family size. Any special health needs you may have. View all of our available programs for medical insurance in Nevada below. Select the program you are enrolled with.SilverSummit Healthplan is committed to providing appropriate, high-quality, and cost-effective drug therapy to all SilverSummit Healthplan members. SilverSummit Healthplan covers prescription medications and certain over-the-counter medications with a written order from a SilverSummit Healthplan provider. The pharmacy program does not cover ...
SilverSummit Healthplan offers Nevada Medicaid members extras and rewards, such as My Health Pays™, YMCA membership, gym benefit, and more. Learn how to access covered benefits, pharmacy, behavioral health, and other services.. Y
SilverSummit Healthplan is committed to providing appropriate, high-quality, and cost-effective drug therapy to all SilverSummit Healthplan members. SilverSummit Healthplan covers prescription medications and certain over-the-counter medications with a written order from a SilverSummit Healthplan provider. The pharmacy program does not cover ...Ambetter from SilverSummit Healthplan is underwritten by SilverSummit Healthplan, Inc. which is a Qualified Health Plan issuer in the Nevada Health Insurance Marketplace. This is a solicitation for insurance. ©2024 SilverSummit Healthplan, Inc., Ambetter.SilverSummitHealthplan.com. If you, or someone you're helping, have ques. Expand ...SilverSummit Healthplan has a telephone language line available any time. To request an interpreter, call Member Services. The number is 1-844-366-2880, TTY: 1-844-804-6086, Relay 711. You can tell us the language you speak, and we will get an interpreter. They can be on the phone to help you call your healthcareSilverSummit I, Yvette Kaunismaki, MD, believe in treating the person as a whole; and all the complexities that make up a person's life. All aspects of our life have an impact on our mood.Skiing Silver Summit. The ski resort Silver Summit is located in Central Alberta ( Canada, Alberta ). For skiing and snowboarding, there are 10 km of slopes available. 3 lifts transport the guests. The winter sports area is situated between the elevations of 1,200 and 1,420 m.SilverSummit Healthplan provides the same benefits as Medicaid, plus more. In this section, you can learn about the health benefits, pharmacy services and value added services SilverSummit Healthplan offers. Need help understanding these benefits and services? Call us at 1-844-366-2880 (TTY/TDD 1-844-804-6086).Dec 31, 2023 · SilverSummit Healthplan Established to deliver quality healthcare in the state of Nevada through local, regional and community-based resources, SilverSummit Healthplan exists to improve the health of its beneficiaries through focused, compassionate and coordinated care. Ambetter from SilverSummit Healthplan is underwritten by SilverSummit Healthplan, Inc. which is a Qualified Health Plan issuer in the Nevada Health Insurance Marketplace. This is a solicitation for insurance. ©2024 SilverSummit Healthplan, Inc., Ambetter.SilverSummitHealthplan.com. If you, or someone you're helping, have ques. Expand ... Ambetter from SilverSummit Healthplan is underwritten by SilverSummit Healthplan, Inc. which is a Qualified Health Plan issuer in the Nevada Health Insurance Marketplace. This is a solicitation for insurance. ©2024 SilverSummit Healthplan, Inc., Ambetter.SilverSummitHealthplan.com. If you, or someone you’re helping, have ques. Expand ... SilverSummit Healthplan Payor ID is 68069. Our Clearinghouse vendors include Availity, Change Healthcare (formerly Emdeon) and McKesson. For questions or more information on electronic filing please contact: SilverSummit Healthplan. c/o Centene EDI Department. 1-800-225-2573, extension 6075525. Or by e-mail at [email protected] Healthplan announced Dr. Steven Evans has been appointed as SilverSummit Healthplan's chief medical officer. Most recently, Evans served as the vice president of quality and utilization management as well as pharmacy director for Intermountain Healthcare in Las Vegas, where he oversaw strategic planning and implementation of medical management for the organization, including ....