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2021 Provider Manual

SilverSummit ID Card (Back). Online Resources. Our website can significantly reduce the number of telephone calls providers need to make to the health plan.



2022 Provider Manual

After-hours coverage must be accessible using the medical office's daytime telephone number. SilverSummit Healthplan will monitor providers' offices After-Hour 



NV - 2021 Allwell Provider Manual

Sep 10 2020 KEY CONTACTS AND IMPORTANT PHONE NUMBERS . ... Mental Health Providers . ... Health Insurance Portability and Accountability Act ..



SilverSummit Healthplan

The phone number is 1-844-366-2880 TTY: 1-844-804-6086



2017 Provider Manual

SilverSummit ID Card (Back). ONLINE RESOURCES. Our website can significantly reduce the number of telephone calls providers need to make to the health plan.



NV - Wellcare by Allwell - Medicare Advantage Provider Manual 2022

Sep 15 2021 Key Contacts and Important Phone Numbers . ... Mental Health Providers . ... Health Insurance Portability and Accountability Act ..



NV - 2021 Member Handbook

from SilverSummit Healthplan! Thank you for choosing us as your health insurance plan. area by using the Provider Directory available on our website.



SilverSummit Healthplan

Thank you for choosing SilverSummit Healthplan as How we work with your other health plans (if you have one) ... Our fax number is 1-866-694-3734.



Nevada - 2017 Provider Manual

SilverSummit ID Card (Back). ONLINE RESOURCES. Our website can significantly reduce the number of telephone calls providers need to make to the health plan.



NV - Ambetter Provider Manual 2022

HOW TO USE THIS PROVIDER MANUAL. 8. NONDISCRIMINATION OF HEALTH CARE SERVICE DELIVERY. 9. KEY CONTACTS AND IMPORTANT PHONE NUMBERS.



Provider Manual - Summit Community Care

Summit Community Care will provide holistic care coordination to connect primary care physicians with specialty behavioral health providers and developmental disability service providers to create a complete plan of care for each member Our Care Coordinators will work with members as well as their

How do I contact Summit Community Care Member Services?

If members/caregivers need assistance with filling prescriptions or appointment scheduling, encourage them to contact Summit Community Care Member Services at 844-462-0022(TTY 711) for assistance. Diversion plans

Are home health services covered by Summit Community Care?

Home health services are covered when the member’s PP or attending provider certifies the services are medically necessary on a part-time, intermittent basis by a member who requires home visits. Prior authorization is required for coverage of procedures and services. Summit Community Care may choose.

What does Summit Community Care require in its medical records?

Member records Summit Community Care requires medical records to be maintained in a manner that is current, detailed and organized and permits effective and confidential patient care and quality review. Providers are required to maintain medical records that conform to good professional medical practice and appropriate health management.

What is Summit Community Care’s billing code policy?

Summit Community Care will reject claims submitted with noncompliant billing codes. Summit Community Care uses code-editing software to determine which services are considered part of, incidental to, or inclusive of the primary procedure. Paper and electronic claims must be filed within 365 calendar days.

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