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)