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Nevada Preferred Professionals
Universal Health Network
Common Provider Questions ~ Universal Health Network

 

How do I apply to be a provider for the UHN/NPP network?
Please visit Join Our Network.

What information can you tell me about a claim?
UHN does not pay claims, however, UHN does re-price claims for many of the third party administrators (TPAs) and insurance companies that utilize our networks.  It is always best to first check with the member's insurance company or TPA for status of a claim.

Whom do I call for pre-authorization?
Refer to member's ID card for contact information.  When in doubt, please call the employer's benefits or eligibility contact for additional information.

What services require pre-authorization?
Requirements vary from plan to plan.  Please verify with the member's insurance company or utilization management organization provided on the member's ID card.

How do I contact UHN/NPP?
Our Customer Service Department may be reached at 775-356-1159 or 800-776-6959, Monday through Friday, 8:00 am-5:00 pm, or follow this link to our contact list.

How do I obtain a copy of my contract with UHN/NPP?
Please visit our Self-Service Center.

How do I obtain my contracted rates for CPT codes?
Please visit our Self-Service Center.

How do I obtain a provider directory?
Click on Find a Provider to view/print the current provider listing.

I am leaving a provider group.  How do I maintain my participating status with UHN/NPP?
Please notify UHN/NPP as soon as you make the decision to leave the group.  If you are joining another group or opening a solo practice, please provide UHN/NPP with adequate notice to avoid a gap in participating status.  All notices need to be submitted to UHN/NPP on company letterhead via fax to 775-352-2475 or through Join Our Network.

How do I obtain TPA/Insurance Company/Employer Group Information?
If you have questions regarding a specific TPA, insurance company or employer group, you may contact Customer Service at 775-356-1159 or 800-776-6959 or refer to the member's ID card.

How do I obtain a Provider Administrative Manual?
Log on to the Self-Service Center or fax your request on company letterhead to 775-352-2475.

Whom should I contact for payment of medical claims?
UHN/NPP do not pay claims.  Please refer to the member's insurance ID card for the name and address of the insurance company or TPA assigned to pay claims for the member.  Any claims submitted to UHN/NPP are forwarded to the insurance company or TPA or insurance company for payment.

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