Provider Contacts
Use the first three digits of your ZIP code or the Physician Hospital Organization (PHO) to identify your provider executive below.
ALL CLAIMS QUESTIONS (30 DAYS FROM SUBMISSION) SHOULD BE FIRST ADDRESSED USING NAVINET®. You can check claims status by searching for the claim. If you are unable to obtain the status, for Federal Employee Plan claim inquiries only, you can inquire about a claim online. Attention: Effective March 1, 2024, the Claims Inquiry form will be decommissioned. Please utilize NaviNet. For all others, please utilize the "Investigate" button on the top of the claim status results page.
FOR IDENTIFIED CLAIM TRENDS OR ESCALATIONS: Please contact the CSC Provider team at ProviderExecs@NebraskaBlue.com include Claim Investigation reference number or call reference number from CSC and/or the reason NaviNet was not successful. You can use the date and time you submitted the Claim Investigation as your reference until a response is received.
ADDITIONAL INFORMATION: Administrative Updates/Secure Forms for Providers
(Examples: EFT, change of address or demographics, add or term providers, etc.)
FOR FEP QUESTIONS: Please contact FEP Customer Service using the inquiry form or by calling 402-390-1879 or 800-223-5584.
Attention: Effective March 1, 2024, the Claims Inquiry form will be decommissioned. Please utilize NaviNet.
FOR MEDICARE ADVANTAGE QUESTIONS: Please call 888-505-2022.
HIGHMARK PRIOR AUTHORIZATIONS: Prior authorization requests for Highmark members can be submitted via NaviNet under Pre-Service Review for Out of Area Members.
If your office is unable to submit the prior authorization request via NaviNet, please fax your prior authorization request to the appropriate area
below:
Type of Request | Fax Number |
Inpatient requests | 800-416-9195 |
Outpatient requests | 888-236-6321 |
Medical injectable drugs |
833-581-1861 |
For escalations, please send an email to ProviderExecs@NebraskaBlue.com |
Jessica (Medura) Bailey
Providers and Specialties: Bryan Health, Bryan Health Connect, CHI Health, Common Spirit Health, National Providers and UniNet
Phone: 402-982-7857
Email: ProviderExecs@NebraskaBlue.com
Loraine Miller
Providers and Specialties: Madonna, Methodist, Methodist Health Partners, Nebraska Medicine, National Providers and Nebraska Health Partners
Phone: 402-982-8321
Email: ProviderExecs@NebraskaBlue.com
Jennifer Drew
Providers, Specialties and Dentists: ZIP codes starting with 688, 689, 690, 691, 692 and 693
Phone: 402-982-6073
Email: ProviderExecs@NebraskaBlue.com
Katherine Vrbka
Providers, Specialties and Dentists: ZIP codes starting with 684, 685, 686, 687 and Veteran’s Administration
Phone: 402-982-8753
Email: ProviderExecs@NebraskaBlue.com
Tawny Archer
Phone: 402-982-8419
Email: ProviderExecs@NebraskaBlue.com
Mailing Address:
PO Box 3248, Omaha, NE 68180-0001
Toll Free Number:
877-435-7258