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3-Tier Large Group Plan Preferred Drug List (employers with 51+ employees)
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4-Tier Large Group Plan Preferred Drug List (employers with 51+ employees)
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4-Tier Small Group Plan Preferred Drug List (employers with 2-50 employees)
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4-Tier Individual Plan Preferred Drug List
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Provider Summary Guide
Table of Contents (PDF)
Introduction (PDF)
Overview of Sierra Health and Life (PDF)
Frequently Called Numbers (PDF)
Provider Administrative Requirements and Resources (PDF)
Credentialing (PDF)
Benefits and Eligibility (PDF)
Utilization Management (PDF)
Medical Director (PDF)
Quality Assurance (PDF)
Quality Improvement Program (PDF)
Claims (PDF)
Confidentiality (PDF)
Member Rights and Responsibilities (PDF)
Member Complaints (PDF)
New Medical Technology (PDF)
Pharmacy Services (PDF)
Commercial Medicaid Medical Necessity Request Form (PDF)
Mental Health (PDF)
Health Education and Wellness (PDF)
Advanced Directives (PDF)
Fraud Waste and Abuse Compliance Policy (PDF)
Frequently used forms
21.1 Allowable Request (PDF)
21.2A Terms of Use Acknowledgement Form (PDF)
21.2B Penalties for Violations of Terms of Use (PDF)
21.3 SHL Complaint Form (PDF)
21.4 Claim Reconsideration Form (PDF)
21.5 Nevada Universal Prior Authorization and Referral Form (PDF)
