Coverage profile
Work Medicaid Nevada across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicaid Nevada.
Other aliases
Also known as
- 10152
- CKNV1
- DHCFP
- NV
- NVMCD
- NVMED
- NVMMI
- NVMMIS
- SKNV0
- EVV State of Nevada (Medicaid FFS)
- Nevada Department of Health and Human Services
- Nevada Health Authority
- Nevada Medicaid
2027 maternity billing research
When does Medicaid Nevada change OB/GYN billing?
Nevada Medicaid, including its managed care organizations, will not adopt the new maternity code structure on January 1, 2027. Providers should continue to use the current bundled code structure until Nevada Medicaid's policy is changed.
- Transition start
- Not stated in the approved quotes
- Billing start
- No 2027 billing date; current bundled structure continues
- Published
- Not stated in source
- Current As Of
- October 2026
Scope: Nevada Medicaid and its managed care organizations.
Web announcement 4024. Verify the payer source before claim submission.
Frequently asked questions
Medicaid Nevada payer FAQs
What is the payer ID for Medicaid Nevada?
The primary payer ID for Medicaid Nevada is NV. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for Medicaid Nevada?
The 837P and 837I payer ID for Medicaid Nevada is NV via Stedi.
What is the 835 payer ID for Medicaid Nevada?
The 835 payer ID for Medicaid Nevada is NV via Stedi.
What is the 270 payer ID for Medicaid Nevada?
The 270 payer IDs for Medicaid Nevada are NV via Stedi and NV via Availity.
What is the 276 payer ID for Medicaid Nevada?
The 276 payer ID for Medicaid Nevada is NV via Stedi.
What state does Medicaid Nevada operate in?
Medicaid Nevada operates in NV.
Routing reference
Medicaid Nevada payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Medicaid NevadaSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | NVSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | NVEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | NVEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | NVEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | NVSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | NVEnrollment requiredSource: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | NVSource: Stedi payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Medicaid Nevada. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: MEDICAID NEVADA. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Medicaid Nevada. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Payer contact directory
Medicaid Nevada phone and fax numbers
Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.
- Dental phone
- (999) 999-9999ANTHEM BLUE CROSS AND BLUE SHIELD, CARESOURCE NEVADA CO.
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(999) 999-9999 | Dental, Other stated contextBenefit context: Managed Care Coordinator |
|
Phone and fax numbers sourced directly from the payer response