Questions from Providers

Q. How do I contact CDS Group Health?
We can be reached at either 775-352-6900 or 800-455-4236.

Q. Would I call the above numbers if I needed to verify benefits and eligibility or check claims status?
Yes.

Q. Where do I submit a claim?
Information regarding claims submission is located on the back of the employee's identification card. Unless otherwise stated, claims are submitted directly to CDS Group Health at the address listed on the ID card.

Q. What information should be included when I submit a HCFA form?
Patient name, patient date of birth, employee (insured) social security number, employee name, employee and patients address (if different), patient relationship to insured, employer name (very important), ICD-9 code(s), date(s) of service, procedure code(s), charge(s), name of provider, signature of provider and tax identification number.

Q. Who do I call for pre-certification?
Each employer group has specific pre-certification requirements. Please refer to the information located on the employee's identification card.

Q. What is the time limit for submission of claims?
Each employer group has specific timely filing requirements. Please contact CDS Group Health for specific information.

Q. How do I know if I'm a preferred provider?
To verify if you are a preferred provider, please call the number listed for the preferred provider organization listed on the employee's ID card.