SilverSummit HealthPlan
Part of Centene Corporation
Summary
SilverSummit HealthPlan is a Medicaid managed care organization, part of Centene Corporation, offering medical coverage operating in Nevada. Claims route under payer ID 11229, with 3 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through SilverSummit Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, professional claims, and institutional claims.
At a glance
- Payer ID
11229Also seen as 1798, 2916, NVSIL- Also known as
- Silver Summit Health Plan
- Uses CAQH
- YesApplication route: Payer portal application
- Service area
- NV
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
Common questions
- What is the payer ID for SilverSummit HealthPlan?
- The payer ID for SilverSummit HealthPlan is 11229. Alternate IDs seen across clearinghouses include 1798, 2916, NVSIL.
- How long does SilverSummit HealthPlan provider enrollment take?
- SilverSummit HealthPlan provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does SilverSummit HealthPlan require CAQH?
- Yes. SilverSummit HealthPlan uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- What states does SilverSummit HealthPlan cover?
- SilverSummit HealthPlan operates in NV. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does SilverSummit HealthPlan offer?
- SilverSummit HealthPlan covers medical.
Related payers
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 Spot something out of date?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.