Phone/Fax/Email Directory (revised 4.28.15)
Information for Blue Cross and Blue Shield of Nebraska Medical Providers
Eligibility, Benefits or Claim Status
BCBSNE subscribers outside of Nebraska
BCBSNE subscribers in Nebraska
National BlueCard® 800# Network | Phone: 800-676-BLUE (2583)
WƌŽǀŝĚĞƌ^ĞƌǀŝĐĞ: 800-635-0579 and follow the voice prompts.
Click on “contact us” at www.nebraskablue.com and e-mail your questions.
FEP member eligibility, coverage and claim status information
FEP Service Representative | Phone: 402-390-1879 or 800-223-5584
Electronic submission questions? See the “Electronic Claims and Remittance”
section on page 2.
Pharmaceuticals, coverage or claim information
Pharmacy Help Desk/Provider Service | Phone: 800-821-4795
Online: www.primetherapeutics.com | E-mail: pharmacy@primetherapeutics.com
Eligibility, benefits or claim status via NaviNet
Online: www.navinet.net/solutions/plans/bcbsne
Precertification and Preauthorization
FEP – Intensive outpatient, partial care or inpatient admissions
(behavioral health)
Inpatient admission (behavioral health)
Health Service Programs Department | Phone: 402-390-1870 or 800-247-1103
Health Service Programs Department | Phone: 402-390-1870 or 800-247-1103
Inpatient admission (medical/surgical), Skilled Nursing Facility (SNF) or rehab
admission
FEP – Submit an Outpatient Treatment Plan form for behavioral health
visits
Health Service Programs Department | Phone: 402-390-1870 or 800-247-1103
Health Service Programs Department | Fax: 402-343-3429
Visit online at www.nebraskablue.com, select “Providers” then “Forms for
Providers” in the left column to select the Preauthorization form.
Preauthorization Request
Health Service Program Department | Fax: 402-392-4141 or 800-255-2838
Provider Solutions Team
Contact the Provider Solutions Team for assistance with the following issues:
• Credentialing and application status
• Provider agreement inquiries
• Reimbursements and fee schedules
• Billing and coding
• Navinet
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EDI
Request Electronic Funds Transfer (EFT)/Electronic Remittance Advice (ERA)
Escalated claim issues
Change of name, location, tax identification number, NPI, etc.
Phone: 800-821-4787 (option 4) | Email: ProviderSolutions@nebraskablue.com
Coordination of Benefits
COB Department | Phone: 402-390-1840 or 800-462-2924
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Overpayment or Refund Assistance
Refunds Department | Phone: 402-398-3653 or 800-562-3381
Third-Party Claims (e.g. motor vehicle accidents, etc.)
Subrogation Department |Phone: 402-390-1847 or 800-662-3554
Workers’ Compensation
Workers’ Compensation Department | Phone: 402-398-3615 or 800-821-4786
Retrospective Review, Medical/Surgical
Medical Support Department | Fax: 402-392-4111 or 800-991-7389
Credentialing
Provider information related to credentialing or recredentialing
Credentialing Specialist| Phone: 402-982-7711 or 800-821-4787 | Fax: 402-392-4148 | E-mail: credentialingrequests@nebraskablue.com
Provider Data Changes
Provider change in practice location, telephone number, tax identification number, etc.
Forms are available at www.nebraskablue.com by selecting “Providers” then “Forms for Providers” in the left column.
Provider Specialist | Phone: 402-982-7711 or 800-821-4787 | Fax: 402-343-3455 | E-mail: HealthNetworkRequests@nebraskablue.com
Electronic Claims and Remittance
Electronic Data Interchange (EDI) technical submission issues
Phone: 402-398-3603 or 888-233-8351, select option 3 for issues regarding EDI connectivity or PC-ACE software setup and questions.
Email: EDIsupport@nebraskablue.com | Fax: 402-343-3457
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