Contracted and Non-Contracted Providers Hometown Health Claim

If you believe that Hometown Health has not processed your claim correctly for any reason including timely filing or denial for needed medical records, you should submit a provider reconsideration. All reconsiderations must be submitted within 90 days from the date of explanation of payment unless otherwise outlined in the provider agreement or regulated by law. Provider’s failure to submit requests within such time period and according to the processes outline below will result in the request being dismissed by Hometown Health. Reconsiderations must be submitted with the following information:

• Claim number
• Member Name
• Date of Service
• Clear explanation as to why you disagree with the initial determination
• Supporting Documentation

The quickest turnaround for reconsiderations is through EpicCareLink, https://ecl.renown.org/EpicCareLink/common/epic_login.asp.

Reconsiderations may also be submitted by fax to 775-982-3741 or mailed to:

Hometown Health

Attn: Provider Reconsiderations

10315 Professional Circle, Reno, NV 89521

NDOC  – For Nevada Department of Correction Inmate Reconsiderations, please follow the process below:

• Claims denying for No Authorization – Email medicalbilling@doc.nv.gov
• Claims denying due to Medicaid- Email medicaidbilling@doc.nv.gov
• All other scenarios, please follow HTH process above for Contracted and Non-Contracted Providers