Provider Resources

SilverSummit Healthplan provides the tools and support you need to deliver the best quality of care. Please view our listing on the left, or below, that covers forms, guidelines, helpful links, and training.

• Manuals, Forms and Resources
• Electronic Transactions
• Eligibility Verification
• Grievance Process
• Clinical & Payment Policies
• Integrated Care
• National Imaging Associates (NIA)
• Patient Centered Medical Home Model
• Prior Authorization
• Nevada Medicaid Revalidation Documents & Reports
• Report Fraud, Waste and Abuse
  
  
• HEDIS Quick Reference Guide 
  
  For more information regarding regarding the HEDIS Quick Reference Guide, please contact:    
  Nancy Ignacio, HEDIS Coordinator:  Nancy.A.Ignacio@SilverSummitHealthplan.com 
  Nicole Harris, HEDIS Coordinator:  Nicole.R.Harris@SilverSummitHealthplan.com