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Nevada · NV

Billing, marketing, staffing and software for Nevada practices

RCM Finder supports medical practices in Nevada remotely, with end to end revenue cycle management, healthcare digital marketing, virtual medical assistance and a practice management system. Below are the Medicare and Medicaid details that apply in Nevada, with sources.

Nevada and major cities
Las VegasRenoHendersonCarson CityBack to the full map

Nevada billing details

Each row shows its source and when we checked it. If a source changes, we update the row.

TopicWhat applies in NevadaSourceChecked
Medicare contractorNoridian Healthcare Solutions (A/B MAC JE)CMS, A/B MAC Jurisdiction JEOct 20, 2026
Medicaid agencyDivision of Health Care Financing and Policy (DHCFP), Nevada Department of Health and Human Services
Nevada Medicaid program
Official provider pageOct 20, 2026
Provider enrollment and billingEnrollment, manuals and billing guidance for Nevada Medicaid providersOpen the provider pageOct 20, 2026
Commercial prompt paymentUnder Nevada's 2025 prompt-payment update (AB 52), most private health insurance plans issued or delivered in Nevada must approve or deny a claim within 21 calendar days if submitted electronically or 30 calendar days if submitted by mail or other non-electronic means, and pay approved claims within that same period, with interest accruing from the due date until paid (rate not stated on the page).
NRS 683A.0879, 687B.730, 689A.410, 689B.0295, 689C.335, 695B.2505, 695D.215, 695G.230 and others as listed by the Division of Insurance (AB 52, 2025)
doi.nv.govOct 20, 2026
Medicaid timely filingNevada Medicaid requires in-state fee-for-service claims without other insurance to be received within 180 days of the date of service or the date of eligibility decision, whichever is later; claims with third-party liability and claims from out-of-state providers get 365 days.medicaid.nv.govOct 20, 2026
Medicaid telehealthThe Nevada Medicaid and Nevada Check Up telehealth billing guide, updated 08/03/2026, defines telehealth as use of a telecommunications system instead of an in-person encounter and explains originating-site facility fee Q3014, place-of-service codes 02 and 10, and telehealth modifiers, referring readers to Medicaid Services Manual Chapter 3400 for coverage policy.medicaid.nv.govOct 20, 2026

Major cities in Nevada

We support practices in these cities and everywhere else in Nevada, remotely.

Las VegasRenoHendersonCarson City
How we work

Remote by design

No office visit needed

We support practices in every state remotely, so you do not need a local office to work with us.

Rules checked for your state

Each state page lists the Medicare contractor and Medicaid details for that state, with sources and the date we last checked.

One service or all four

Begin where the gap is biggest, whether that is payments, new patients, front-desk capacity or your software.

Nevada practice questions

Who processes Medicare claims in Nevada?

Noridian Healthcare Solutions is the Medicare Administrative Contractor (MAC) that processes Part A and Part B claims in Nevada (A/B MAC JE), according to CMS.

Which agency runs Medicaid in Nevada?

Division of Health Care Financing and Policy (DHCFP), Nevada Department of Health and Human Services runs Medicaid in Nevada (the Nevada Medicaid program). The official state pages linked in the table above cover provider enrollment and billing.

How quickly must insurers pay a clean claim in Nevada?

Under Nevada's 2025 prompt-payment update (AB 52), most private health insurance plans issued or delivered in Nevada must approve or deny a claim within 21 calendar days if submitted electronically or 30 calendar days if submitted by mail or other non-electronic means, and pay approved claims within that same period, with interest accruing from the due date until paid (rate not stated on the page).

How long do I have to file a Medicaid claim in Nevada?

Nevada Medicaid requires in-state fee-for-service claims without other insurance to be received within 180 days of the date of service or the date of eligibility decision, whichever is later; claims with third-party liability and claims from out-of-state providers get 365 days.

Do you work with practices outside the largest cities in Nevada?

Yes. We work remotely, so a practice in a small town is supported the same way as a practice in Las Vegas.

Which service should a practice in Nevada start with?

Start where the problem is biggest: End to End RCM if payments are slow or denials are high, Healthcare Digital Marketing if your schedule has gaps, Virtual Medical Assistance if your front desk is stretched, or a Practice Management System if your tools are scattered. Tell us about your practice and we will suggest a first step.

What should I send first?

A short description of your practice, your specialty, your main payers and the biggest problem you want fixed. Our form asks for the basics.

Free consultation

Ask about your Nevada practice

We will reply with the details that apply to Nevada and a suggested first step.

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