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Prominence Health Plan

CommercialNon-ParticipatingInstant 837 Submission

Also covers / subsidiaries: Prominence Health Plan of Nevada

Core Payer & Clearinghouse Profile

Electronic Payer ID

11215

93082 listed for Prominence Health Plan of Nevada. Prominence states the EDI Payer ID is printed on the back of the member ID card.

Timely Filing Limit (TFL)

Varies — confirm via portal / clearinghouse

Appeal Window

Varies — confirm via portal / clearinghouse

Clearinghouse Gateway

Availity

Provider Services

866-500-2741

Claims Fax

Varies — confirm via portal / clearinghouse

Claims Address

Prominence Health Plan Claims, P.O. Box 50190, Sparks, NV 89436

Provider Portal

https://commercial.prominenceproviders.com/

Nevada commercial health plan (HMO and self-funded) owned by Universal Health Services (UHS).

National EDI Clearinghouse Capabilities

Direct ANSI X12 electronic transaction support verified for Prominence Health Plan.

837P Professional Claims
837I Hospital Claims
837D Dental Claims
835 ERA Electronic Remittance
270/271 Real-Time Eligibility
276/277 Claim Status Inquiry
Secondary Claim Submission
Worker's Compensation EDI
Electronic Attachments (PWK)

Associated Clearinghouse Payer IDs

National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Prominence Health Plan.

Clearinghouse NameElectronic Payer IDStatusEnrollmentSupported Services
Prominence Health Plan11215Non-ParNone
837P837I270/271276/277Dental
Prominence Health Plan Of Nevada93082ParNone
837P837I

Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.

Tired of Chasing Prominence Health Plan Denials & Delayed Payments?

Aethera's billing specialists work Prominence Health Plan every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.

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