Note: UHN/NPP do not pay claims.  

Please refer to your ID card, summary plan document, human resources department or insurance broker for the contact information of the third party administrator (TPA) that pays your claims.

The role of a preferred provider organization (PPO) is to provide a quality medical network including hospitals, physicians and ancillary services for employers, insurance companies and managed care plans.  UHN/NPP provide one of the largest statewide networks available in Nevada and surrounding areas.  Our commitment is to offer a CHOICE of providers at competitive market rates that best serve employers and their employees.  Our core business is our networks, with complete focus on our products and service.

Network Access -- UHN/NPP contract with medical providers, including but not limited to hospitals, physicians, ambulatory surgery centers, home health agencies, mental health providers and laboratories for discounted rates for medical services.  UHN/NPP's comprehensive Nevada network includes border areas of California such as Truckee, Susanville and South Lake Tahoe and Bullhead City in Arizona.  The provider directory on this website is updated daily.

Claim Repricing -- Clients (employers) who select this service instruct their insurance company or third party administrator (TPA) to print their ID cards with the UHN/NPP address.  This directs provider claims to the UHN/NPP office where the contractual discount is applied.  The claim is promptly forwarded to the payor for adjudication and payment to the provider.  Both electronic (EDI) and paper claims are accepted.

Utilization Management (UM) -- UM services include catastrophic case management pre-authorization, concurrent review and discharge planning.  UM information is printed on the memeber's ID card.

Club Health Total Health Management -- This program is offered to target both high-risk and low-risk members, helping them improve their health and slow disease progression, and providing wellness education for healthy members to help them stay healthy.