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Introducing our new Online Provider Services!
Our contracted providers may now access provider and member information online through our secure website. Access our enhanced online services by clicking "HERE" or contact the Provider Relations Department at (775) 770-6278.
Saint Mary's HealthFirst HMO/POS is a proud recipient of the accreditation rating of Commendable from the National Committee for Quality Assurance (NCQA).
This accreditation rating recognizes that Saint Mary’s HealthFirst delivers high-quality care and service, and the Plan’s systems for consumer protection and quality improvement meet or exceed NCQA’s rigorous requirements. NCQA is an independent, not-for-profit organization that evaluates and rates managed care organizations and is widely recognized by employers, consumers and others as the most trusted, reliable source for information about the quality of the nation’s health care system. For more information on this achievement and what it means to health plan members, click here.
Saint Mary's Health Plans is pleased to include you in the team of providers that offers the finest
health care available in Northern Nevada. Our physicians, nurse practitioners and
ancillary providers are our partners in ensuring the health of the people we serve.
Our Providers Section features information that will help you and your staff.
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- If you are interested in learning the latest HealthFirst news and updates, please
read our "Physician Quarterly" newsletter by clicking here.
- If you are interested in finding out which other providers - physicians, hospitals,
laboratories, pharmacies, etc. - participate as independent contractors for Saint Mary's
Health Plans, click here.
- If you would like to know where HealthFirst patients can go for urgent care services, click here.
- If you would like to know where HealthFirst patients can go for emergency care services, click here.
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- If you would like information about our pharmacy services or preferred drug list, click here.
- If you would like to view or download Saint Mary's HealthFirst Prior Authorization List, click here.
- If you would like to view or download Saint Mary's Health Choice Prior Authorization List, click here.
- If you would like to view or download Saint Mary's HealthFirst and Health Choice Prior Authorization Form, click here.
- If you would like to view or download Saint Mary's Preferred Health Care Network Prior Authorization Form, click here.
- If you have patients who are either pregnant, diabetic, diagnosed with coronary heart
disease, interested in quitting smoking, and/or interested in losing weight, find out more
about our wellness services by clicking here.
- If you have a question about becoming a provider for Saint Mary's Health Plans, billing or claims,
opening or closing your practice to new patients, changing your address or phone number, and/or finding
out about eligibility/benefit information online, please check out our "Frequently Asked Questions"
section by clicking here.
- If you have any other questions, comments or suggestions about Saint Mary's Health Plans,
please call our Provider Relations department at 775-770-6278, Monday through Friday 8:00 a.m.
to 5:00 p.m or send us an email by clicking here.
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