Nevada references and GUIDELINES.

We value the relationships you have built with your patients and are here to strengthen that connection. Here are some at-your-finger tip resources to making caring for your patients easier.

Contact P3 Health Partners Nevada

If you have any questions or inquiries, we encourage you to reach out to our departments at P3 Health Partners Nevada. Our dedicated team is here to assist and provide the information you need.

We are well-equipped to provide you with the necessary support in a professional manner that meets your specific needs. We encourage you to take advantage of their expert services to ensure your questions are answered.

P3 Care Management
Phone: (702) 570-5582
Email: CareManagementTeamNevada@p3hp.org

P3 Claims
Phone: (702) 910-3950
Email: claims@p3hp.org

P3 Credentialing
Phone: (702) 910-3950
Email: p3credentialing@p3hp.org

P3 Network/Provider Relations

Phone: (702) 444-0412
Email: providerrelationsnv@p3hp.org

P3 Quality
Phone: (702) 800-5120
Email: nvquality@p3hp.org

P3 Utilization Management
Phone: (702) 444-0408
Email: umanagement@p3hp.org

Lab and Radiology

At P3 Health Partners Nevada, we have established partnerships with the top lab and radiology facilities in Southern Nevada.

Our preferred lab partner, CPL, renowned for their expertise and commitment to accurate diagnostic testing. With their state-of-the-art equipment and experienced professionals, you can trust that your lab results will be reliable and precise.

Similarly, our preferred radiology partner, Desert Radiology,  is equipped with advanced imaging technology and staffed by highly skilled radiologists. Whether you require X-rays, CT scans, MRI, or ultrasound, you can expect exceptional imaging services that provide detailed and accurate results.

Quick Reference Guides

The Quick Reference Guides below provide an abundance of health plan specific information for each of our health partner plans. In addition to key health plan contacts, the quick reference guides also provide a list of ancillary vendors and services sample ID cards.

Health Plan Portals

Click on the health plan portal below to check patient eligibility, submit prior authorization requests, access claims and other resources needed to support your office and obtain answers quickly.

Health Plan Formularies

Click on the health plan formularies below to find a list of drugs covered by the health plan. This will allow you to provide high quality care and patient satisfaction using the most cost-effective medications.

P3 Health Partners Nevada Care Management

The Care Management team partners with providers and health plans to coordinate care between office visits. Bridging the gap between the provider and patient, by offering health education on preventing disease, guidance managing chronic disease, and resources for maintaining a healthy lifestyle—everything from helping a patient interpret lab results and scheduling their next visit and more. We are here when you need us most to provide patient support and resources to help our patients stay healthy and safe.

Transportation
At P3 Health Partners Nevada, we understand the importance of accessible healthcare for all patients. Many health plans do provide transportation services or reimbursement options for patients who require assistance getting to and from medical appointments.

These transportation services are designed to ensure that individuals have the means to access necessary healthcare services, particularly for those with limited mobility or transportation challenges.

We recommend reaching out to your health plan directly to inquire about their transportation services and eligibility criteria.

Aetna
Phone: (888) 891-0751

Alignment
Phone: (866) 327-2247

Anthem
Phone: (844) 923-0760

Humana
Phone: (866) 588-5172

SeniorCare Plus
Phone: (702) 444-0408

WellCare
Phone: (877) 718-4201

Pahrump Senior Center
Phone: (775) 727-5008 Ext. 3

Mesquite Express Transportation 
Phone: (702) 346-7006

After Hours Care
Phone: (702) 623-7502
Website: Dispatch Health

Medication Adherence

Medication adherence is vital to achieving optimal outcomes for our patients with chronic conditions, such as diabetes, hypertension and hyperlipidemia. We’re here to make it easy.

Download and follow this guide here.

MRA Documentation Tips

MRA document provides concise and practical guidance for healthcare professionals on improving medical record accuracy and compliance in the context of Medicare Risk Adjustment (MRA). It offers valuable insights and strategies to ensure comprehensive and precise documentation, ultimately leading to more accurate risk adjustment and appropriate reimbursement for health plans. The document aims to enhance understanding and implementation of MRA documentation requirements, optimizing patient care and revenue integrity.

Download and follow this guide here.

Disclaimer*
Coding and documentation materials are based on current guidelines and are not intended to replace ICD-10-CM, CPT and HCPCS as the authoritative references for assigning diagnoses and procedure codes.

Clinical and coding decisions are to be made based solely on the independent judgment of the treating clinician during the face-to-face visit and in the best interest of the patient.

It is the responsibility of the treating clinician and his/her staff to submit accurate codes, charges and modifiers for services rendered.

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