Billing Information
Effective February 1, 2019, all providers will be required to submit their claims electronically (using Trading Partners or Direct Data Entry [DDE]), as paper claims submission will no longer be accepted with the go-live of the new modernized Medicaid Management Information System (MMIS). Please continue to review the modernization-related web announcements at https://www.medicaid.nv.gov/providers/Modernization.aspx for further details.
Attention All Providers: Requirements on When to Use the National Provider Identifier (NPI) of an Ordering, Prescribing or Referring (OPR) Provider on Claims [Web Announcement 1711]
FAQs: National Correct Coding Initiative (NCCI) Claim Review Edits [Review Now]
Clinical Claim Editor FAQs Updated December 5, 2011 [Review Now]
Third Party Liability Frequently Asked Questions [Review Now]
COVID-19 Billing Guides
Title | Last Update |
---|---|
COVID-19 General Billing Guide | 01/13/2021 |
COVID-19 Community-Based Testing & Vaccination Billing Guide | 01/13/2021 |
Remittance Advice Reference Material
Title | Last Update |
---|---|
Claim Error/EOB/ANSI Code Crosswalk | 02/05/2021 |
Accounts Receivable Financial Reason Codes | 10/09/2020 |
Billing Manual
For Archives Click hereTitle | File Size | Last Update |
---|---|---|
Billing Manual | 2 MB | 11/17/2020 |
Billing Guidelines (by Provider Type)
For Archives Click hereBilling Instructions (by Service Type)
Title | Last Update |
---|---|
Anesthesia | 06/05/20 |
Medication-Assisted Treatment (MAT) Services for Opioid Dependence | 07/10/20 |
Preventive Services | 05/04/20 |
Sterilization and Abortion Policy | 03/10/20 |
Telehealth | 11/18/20 |