Policy Number: GP-P-002

Last Updated: May 24, 2022 

If the provider determines that a covered person requires services not customarily rendered while under their care, including the services of physicians, hospitals or other health care providers, the provider shall use best efforts to refer patients to other providers that participate in Blue Cross and Blue Shield of Nebraska’s provider networks or in the BlueCard® Program.  

Providers shall be guided by reasonableness and the covered person’s best medical interests in referring, admitting or directing them for such services and providing information about all known referral options.