Welcome to the first edition of our new Provider Bulletin, formerly Provider Email Blast.
We are happy this information has been useful and look forward to making it even easier to access and read. In addition to the monthly email, our Provider Bulletins will be available online with our Alerts and Updates. For quick and easy access, we’ve added a link from our new Provider Academy.
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 in the same location as our Provider Updates newsletter, Alerts & Updates for Providers.
NaviNet® self-service timeline of events
November 2023
In-Network Providers will need to submit appeals or reconsiderations in NaviNet
In-Network Providers will be redirected to NaviNet to check for appeal or reconsideration status
CSC will be redirected to NaviNet for ALL claim status regardless of submission date
Remittance Advice (RAs) requests will continue to be redirected to NaviNet
September’s #1 provider claim return reason
BCBSNE has identified September's #1 provider claim return reason:
The Federal Tax Identification number and/or the NPI number for the Provider, Rendering or Referring, is not effective for the date of service.
Please ensure you are reviewing your provider's effective date before submitting claims.
For credentialing guidance, please visit NebraskaBlue.com/Credentialing or the “Administrative Updates/Secure Forms” link on the BCBSNE NaviNet landing page.
Did you know? You can self-service most of your claim administration in NaviNet
On the “Claim Status Detail” page of NaviNet, you can see claim progress and outcomes, view claim return letters, submit reconsiderations, timely filing disputes and Claim Investigations for questions. From here, you can also submit Appeals and see the status.
Your Remittance Advices can be obtained through the Workflows menu and are available for the past two years.
Please do not submit BCBSNE Medicare Advantage (Y2M or YMA prefixes) appeals, reconsiderations, or timely filing disputes via NaviNet.
For first-level appeals, reconsiderations, and timely filing, please send requests directly to:
Blue Cross and Blue Shield of Nebraska
Medicare Advantage PRS-Appeals
PO Box 44317
Detroit, MI 48244-0317
For second-level appeals, please send requests directly to:
Blue Cross and Blue Shield of Nebraska
PO Box 441335
Detroit, MI 48244-1335
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.
You are receiving this because you are identified as a provider for Blue Cross and Blue Shield of Nebraska.
