How To Submit Claims To Health Plan of Nevada (HPN)

For Health Plan of Nevada (HPN), the practical claims workflow usually starts with electronic submission guidance and only falls back to paper instructions when the payer documents a mailing address for specific claim types or exceptions. The details below keep the workflow broad instead of reducing it to a single address.

At a glance

• HPN accepts paper claims by mail and electronic claims through a contracted clearinghouse. The provider portal supports claim status, claim submission-related tasks, and EOP viewing. For paper claims, HPN lists a Las Vegas P.O. Box. For electronic claims, the 2024 provider guide lists OptumInsight as the clearinghouse and payer IDs 76342 or 76343.

Submission channels

• Mail paper claim form and itemized bill
• Electronic claims via clearinghouse
• Online Provider Center for claim status and related workflows
• Phone for some adjustments that do not require written documentation
• Secure email for large claim projects

Electronic claims payer IDs

• 76342
• 76343

Paper claims addresses

• Health Plan of Nevada, Claims Department, P.O. Box 15645, Las Vegas, NV 89114-5645
• Health Plan of Nevada, Attn: Claims Research, PO Box 15645, Las Vegas, NV 89114-5645

Corrected claims and follow-up

• Use a claim reconsideration form for appeals/reconsiderations.

• For corrected claims, the form notes that a copy of the EOP is required only for corrected-claims submissions.

• The form includes a reason option for resubmission of a corrected claim.

• For 20 or more paid or denied claims, submit a claims project spreadsheet and supporting documentation via secure email.

• Claims status resource 1

Caveats

• The exact electronic submission pathway is mediated through OptumInsight / a clearinghouse; HPN says providers may coordinate with their own clearinghouse to transmit claims and encounter data.
• I did not find an official payer-unique companion-guide page with more detailed EDI envelope instructions in this pass.

Provider resources

• Provider home / contact information (official)
• Online Provider Center (official)
• Submit or Appeal a Claim (official)
• Provider Advocates (official)
• 2025 Provider Summary Guide - Utilization Management (official)
• 2025 Claim Reconsideration Request Form (official)
• 2024 Provider Summary Guide - Claims (official)

Sources