Submit or Appeal a Claim

File a claim.

Send a claim form and an itemized bill to:

Health Plan of Nevada
Claims Department
P.O. Box 15645
Las Vegas, NV 89114-5645

Name, address and tax ID number
Date of service
Diagnosis
Description of services and/or standardized codes rendered, and itemized charges for each service

Complete a claim reconsideration form. Mail the form, a description of the claim and pertinent documentation to:

Health Plan of Nevada
Attn: Claims Research
PO Box 15645
Las Vegas, NV 89114-5645

To prevent processing delays, be sure to include the member’s name and his/her member ID along with the provider’s name, address and TIN on the form.
To request an adjustment for a claim that doesn’t require written documentation, call Member Services at 1-800-777-1840.
If you have a request involving 20 or more paid or denied claims, please fill out a claims project spreadsheet (Excel) and submit necessary documentation via secure email to pri@sierrahealth.com.

At a minimum, please include the following information:
- Member’s first and last name
- Member’s date of birth
- Member’s health plan ID number
- Claim number
- Line of business
- Explanation of issue
- Expected outcome

Please allow 30 days from date of receipt for all claim reconsiderations. For facility appeal instructions, click here.