Skip to main content
CredNet

Prominence Medicare Advantage (Nevada)

Part of Renown Health

Regional plandentalmedical
Typical enrollment turnaround
60-90 days

Summary

Prominence Medicare Advantage (Nevada) is a regional health plan, part of Renown Health, offering dental and medical coverage operating in Nevada and Texas. Claims route under payer ID 93082, with 3 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Prominence Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID
93082Also seen as 7218, 8635, PHPNV
Also known as
Prominence Health, Prominence Health Plan Nevada
Uses CAQH
YesApplication route: CAQH application only
Service area
NV, TX

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
Dental claims (837D)Not requiredImmediate
ERA / remittance (835)RequiredSame day

Common questions

What is the payer ID for Prominence Medicare Advantage (Nevada)?
The payer ID for Prominence Medicare Advantage (Nevada) is 93082. Alternate IDs seen across clearinghouses include 7218, 8635, PHPNV.
How long does Prominence Medicare Advantage (Nevada) provider enrollment take?
Prominence Medicare Advantage (Nevada) provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Prominence Medicare Advantage (Nevada) require CAQH?
Yes. Prominence Medicare Advantage (Nevada) uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
Does Prominence Medicare Advantage (Nevada) require ERA enrollment?
Yes. Prominence Medicare Advantage (Nevada) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
What states does Prominence Medicare Advantage (Nevada) cover?
Prominence Medicare Advantage (Nevada) operates in NV, TX. Coverage can differ by plan and product line, so confirm the specific plan before you file.

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.