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Friday Health Plans has grown incredibly quickly, which is a testament to the strength of our mission of delivering affordability, simplicity, and outstanding customer service. Unfortunately, Friday has been unable to scale our financial infrastructure to match the pace of our growth and secure the additional capital required to run our business.
In collaboration with the Nevada Insurance Commissioner Scott Kipper, Friday Health Plans has consented to the receivership, allowing the Commissioner as receiver to assume day-to-day oversight and financial review of Friday Health Plans.
Policyholders’ contracts will remain in effect, and members will need to continue to pay their premiums per the terms of their policies to ensure no disruption to their coverage. The Commissioner, through an appointed special deputy receiver, will communicate with policyholders during the receivership process. In the meantime, Friday Health Plans will continue to serve our members, brokers, and providers.
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Internal Dispute Resolution Process
The Federal IDR process is available only for certain services, such as out-of-network emergency services, certain services provided by out-of-network providers at an in-network facility, or out-of-network air ambulance services. The Federal IDR process is also only available if a state All-Payer Model Agreement or specified state law does not apply; otherwise, the state Agreement or law applies. To view information about the Federal IDR process, please review this document.
Provider Portal
The Friday Health Plans portal is your one-stop shop where you can:
- Check authorization statuses
- Access claims data
- Search for forms
- Review provider manual
- View member eligibility
Sign up for the Friday Health Plans Provider Portal and submit your provider information for approved access.
Claims Information: Nevada
Payer ID: H0657
Mailing/Claims Address: Friday Health Plans, PO Box 21594, Eagan, MN 55121 (If you send a claim to the Sidney, NE PO Box, it will be forwarded).
If you have any questions, please reference the provider relations connections below:
Provider Service: 844-535-2000
Referrals and Prior Auth (Fax): 888-827-9646 or email NV-medical@fridayhealthplans.com
Pharmacy-Prior Auth: Call 855-572-2779 or fax form to 833-434-0563
Credential Contact for Current Providers: providers@fridayhealthplans.com
Open Negotiation Requests: IDR@fridayhealthplans.com
NEVADA UPDATES
February 3, 2022: HometownHealth Provider Payment Update – Friday Health Plans
We are currently upgrading our technology which has caused unforeseen delays in claims pricing for Friday Health Plans members. This has resulted in payment delays from Friday Health Plans to network providers. Affected providers should see resumed payments starting next week. If you have questions about claims with Friday Health Plans, please email providers@fridayhealthplans.com and a Friday staff member will call or email back within 24-48 hours.
