To help providers submit accurate claims and take advantage of auto-adjudication, Blue Cross and Blue Shield of Nebraska (BCBSNE) continues to rank the top three reasons for claim returns:
The Federal Tax Identification number (TIN) and/or the NPI number for the Provider, Rendering or Referring, is not effective for the date of service.
Please ensure you are submitting TIN/NPI of providers who are credentialed with BCBSNE. Most importantly, do not submit claims for newly-credentialed providers until you have the acceptance letter with the provider’s effective date.
For credentialing guidance, please visit NebraskaBlue.com/Credentialing or the Administrative Updates/Secure Forms link on the BCBSNE NaviNet® landing page
The required BCBS subscriber identification number is missing or invalid.
Please verify this information and resubmit your claim with the complete identification number as it appears on the member’s BCBS identification card in the correct ID number field.
It is recommended that you photocopy the patient’s member ID card at every visit to ensure you have the most up-to-date coverage information.
Blue Cross and Blue Shield of Nebraska (BCBSNE), strives to notify our providers of new self-service technology and resources to assist in your day to day. Did you know that the U.S. Preventive Services Task Force (Task Force) has a free app called Prevention TaskForce? This app can help healthcare professionals identify which screenings, counseling interventions, and preventive medications are right for their patients. It includes all current Task Force recommendations and can be searched by specific patient characteristics, such as age, sex/gender, and selected behavioral risk factors. Download the app, on mobile or desktop, to find the preventive services that can help keep your patients healthy.
For more information and to download the app, visit the Task Force website.
TRICARE Network Participation and Contract Confirmation
We are pleased to announce a significant partnership between TriWest, an affiliate of the Blue Cross Blue Shield Association and BCBSNE. TriWest has been awarded the Western Region TRICARE contract to be effective Jan. 1, 2025. Health Net will no longer be the fiduciary. Thus, to continue participation with TRICARE, providers will need to sign with TriWest.
TriWest is actively expanding its network in Nebraska via BCBSNE and is distributing documents to providers through DocuSign. For those already part of NEtwork Blue, BCBSNE's credentialing process will suffice, meaning there are no additional credentialing steps. We urge you to promptly review and sign the contract sent to you, which includes a DocuSign link sent from dse_NA4@docusign.net. It's possible this email was directed to your spam folder. If a new contract is needed, or if you haven't received yours, please contact us without delay at BCBSNEProviderContracting@NebraskaBlue.com for resolution. Furthermore, if you decide not to join the network, please inform us so we can keep our records current.
For any inquiries or assistance, please feel free to contact us.
Frequently Asked Questions (FAQ) - TRICARE
Q: I’m already contracted with TRICARE. Do I need to take any action?
A: Yes, all contracts with TRICARE’s previous administrator Health Net will expire at the end of 2024. To be considered In-Network for TRICARE in 2025, you will need to sign an agreement with TriWest.
Q: Is BCBSNE collaborating with TriWest?
A: Yes, TriWest, which is an affiliate of the Blue Cross Blue Shield Association, has been awarded the Western Region TRICARE contract to be effective Jan. 1, 2025. BCBSNE and TriWest are in partnership to establish a comprehensive network for TRICARE beneficiaries. BCBSNE oversees the management of the provider network and the credentialing process for healthcare providers within Nebraska.
Q: How can I access the fee schedule related to my TRICARE agreement?
A: The fee schedule is available on the official Military Health System website. You can view the rates and reimbursement details for TRICARE by visiting the TRICARE Allowable Charges page under the Rates and Reimbursement section.
Q: In case of any issues with my TRICARE contract, whom should I contact?
A: For any contract-related inquiries or issues, please reach out via email to BCBSNEProviderContracting@NebraskaBlue.com.
BCBSNE MA Auto Approval for SNF Admissions
BCBSNE is pleased to announce beginning Jan. 1, 2025, we will waive authorizations the first seven days in a Skilled Nursing Facility (SNF) for all MA PAR providers. Notification of Admission is required within 72 hours of admission. Concurrent authorization review is required to certify additional days, thus allowing us to issue the Notice of Medicare Non-Coverage timely to the facility and the member.
If a SNF admission goes beyond seven days, authorization will be required on day eight and after. BCBSNE is committed to the health and well-being of our members and communities we serve.
Do you have a new team member who would like to be added to our email list?
They can sign up for Provider updates online at the same location as our Provider Updates newsletter on the Alerts and Updates page.
You are receiving this because you are identified as a provider for Blue Cross and Blue Shield of Nebraska.
NaviNet® is a healthcare provider portal providing services for Blue Cross and Blue Shield of Nebraska, an independent licensee of the Blue Cross Blue Shield Association.
