Select state
hamburger menu icon

Menu

You’re viewing this site from

Select state

Plans

Other Plans
  • ICHRA Individual Coverage Health Reimbursement Arrangements let employers fund an account for each employee.
  • Low Income SEP Plans for those who qualify as low-income individuals and families and qualify for a subsidy.
Browse our Network
Learn More

Health Insurance 101
We’ve outlined everything you need to know before diving into the health insurance shopping period.

Members

Learn More
  • Glossary Insurance terms, made simple. Definitions of common phrases that are important to know for understanding health insurance coverage
  • FAQ Answers to frequently asked questions about eligibility, enrollment, member support and more
  • Blog
Contact Us
Member Portal

Sign in or register with us to:

  • Make a payment
  • Access digital benefits card 
  • View claims history

 

 

 

Provider Hub

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.

Please find additional information and resources here.

Get Started

Check Authorization Statuses, Access Claims Data, Review the Provider Manual, Check Member Eligibility


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.

Register Now

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.