Nevada
Medical Billing Services in Nevada
Nevada practices can hand us their billing and credentialing, at 4-8% of collections with no long-term contract. Nevada Medicaid, Medicare, commercial and union health fund billing for Las Vegas, Henderson, Reno and statewide.
Key takeaways
- 01Nevada Medicaid allows 180 days from the date of service or the eligibility decision, whichever is later, and 365 days for out-of-state providers or where third-party liability exists; managed care plan agreements may differ (Nevada Medicaid Services Manual, chapter 100).
- 02Since January 2026, Nevada Medicaid managed care is statewide, through Anthem, CareSource, Health Plan of Nevada, Molina and SilverSummit.
- 03Nevada requires insurers to approve or deny a claim within 30 days and pay an approved claim within 30 days after approval, with interest at prime plus 6% if late (NRS 689A.410).
- 04Nevada's surprise-billing law (AB 469, 2019; NRS 439B.700 to 439B.760) covers emergency care and includes arbitration.
How Practices in Nevada Trust Our Billing
Nevada Payer Billing
One team for your Nevada Medicaid, Medicare and private insurance claims
Coders Matched to Your Specialty
Specialty-trained coders who know the payers and paperwork of your field
Dedicated Account Manager
A named contact for billing questions, reports and anything urgent
No Long-Term Contract
We are paid 4-8% of collections, and there is no long-term contract to get out of
Why Clinics in Nevada Win by Switching
Nevada Medicaid Billing. Billing for Nevada Medicaid managed care plans and Nevada Health Link marketplace plans
HIPAA Compliant. Your patient data stays HIPAA compliant, and a dedicated account manager handles your questions
See How Much Revenue Your Nevada Practice Is Leaving on the Table
Get a free, no-obligation practice assessment. We'll analyze your claims, denials, and A/R to show you exactly where you're losing money.
Where We Work Across Nevada End to End
Las Vegas Metro: Clark County
Las Vegas combines a large hospitality and entertainment workforce with a growing resident population. University Medical Center of Southern Nevada, Dignity Health Nevada and HCA Healthcare's Nevada hospitals serve a metro area where uninsured patients and visitors make collections harder.
Visitors and transplanted workers often carry out-of-state plans, so Las Vegas practices bill many national payers and see more out-of-network claims than most markets.
Emergency medicine / orthopedics / primary care / dermatology / plastic surgery
Reno-Sparks & Northern Nevada
The Reno-Sparks area is anchored by Renown Health and Northern Nevada Medical Center (HCA), serving a population that has grown with company relocations from California. Many residents carry California-based plans, so practices bill across state lines.
Tesla, Apple and other employers with operations near Reno provide employer-sponsored coverage for many patients.
Primary care / cardiology / orthopedics / behavioral health / family medicine
Carson City & Rural Nevada
Carson City is Nevada's capital, served by Carson Tahoe Health, while rural Nevada relies on critical access hospitals and frontier clinics spread over long distances. Many rural residents travel to Reno, Las Vegas or California for specialty care.
State employees in Carson City carry Public Employees' Benefits Program (PEBP) coverage, which has its own billing requirements.
Family medicine / primary care / emergency medicine / rural health / behavioral health
Frequent Questions on Getting Paid in Nevada
Since January 2026, Nevada Medicaid managed care is statewide, through Anthem, CareSource, Health Plan of Nevada, Molina and SilverSummit, and rural areas have CareSource and SilverSummit only. Each plan has its own authorization requirements, enrollment and fee schedule.
Visitors receive care in Las Vegas while carrying insurance from their home states, so practices bill many national and regional payers and see more out-of-network claims. Collecting from patients who have gone home is a regular part of the work.
NRS 689A.410 requires insurers to approve or deny a claim within 30 days and pay an approved claim within 30 days after approval, with interest at prime plus 6% if late. It does not apply to self-funded plans governed by ERISA, such as the Culinary Health Fund.
Yes. Nevada's AB 469 (2019), codified at NRS 439B.700 to 439B.760 and in effect since 1 January 2020, covers emergency care and includes arbitration. The federal No Surprises Act also applies.
Nevada Medicaid allows 180 days from the date of service, or 365 days for out-of-state providers and third-party liability claims, and managed care plan agreements may differ. Medicare gives one year from the date of service to file, under 42 CFR 424.44. Self-funded plans such as the Culinary Health Fund set their own limits in the plan document.
The Culinary Health Fund covers more than 50,000 workers and about 60,000 dependents. It is a union and employer trust fund governed by federal law (ERISA), so Nevada's prompt-pay statute does not apply to it and claims follow the fund's own rules.
Complete Billing Support for Nevada Clinics
From eligibility checks to final payment, we handle your billing so you can focus on patients.
Claims Management. Claim submission and follow-up until each claim is paid or closed
Denial Management. Denied claims worked and appealed
Patient Billing. Clear patient statements and payment plans
Credentialing. Payer enrollment at $150 per application, per provider, usually 60 to 90 days with each payer, in our experience
Want a Second Look at Your Billing?
Get a free, no-obligation review of your practice's billing.
- Where claims are being denied, and why
- Which unpaid claims can still be recovered
- What billing would cost at 4-8% of collections
Specialties We Support Across Nevada
Our focus is mental health, behavioral health and therapy practices, and we bill for other Nevada specialties as well.
- Occupational Therapy
- Mental Health
- Substance Use Treatment
- Physical Therapy
- ABA Therapy
- Behavioral Health
- Psychiatry
- Psychology
- Speech Therapy
- Urgent Care
- Orthopedics
- Primary Care
Get Started With Medtransic in Nevada Providers Who Switched
Let us handle your medical billing so you can focus on patient care