Provider Contacts

Use the first three digits of your ZIP code or the Physician Hospital Organization (PHO) to identify your provider executive below.

Check Claims Status »

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

 

Jennifer Drew

Providers, Specialties and Dentists: ZIP codes starting with 688, 689, 690, 691, 692, 693, National Providers and Veteran’s Affairs
Phone: 402-982-6073
Email: ProviderExecs@NebraskaBlue.com

Loraine Miller

Providers and Specialties: Madonna, Methodist, Methodist Health Partners, Nebraska Medicine and Nebraska Health Partners
Phone: 402-982-8321
Email: ProviderExecs@NebraskaBlue.com

Jessica (Medura) Bailey

Providers and Specialties: Bryan Health, Bryan Health Connect, CHI Health and UniNet
Phone: 402-982-7857
Email: ProviderExecs@NebraskaBlue.com 

Leigh Ingraldi

Providers, Specialties and Dentists: ZIP codes starting with 680, 681, 683, 684 and 685
Phone: 402-982-8753
Email: ProviderExecs@NebraskaBlue.com

Tawny Archer

Providers, Specialties and DentistsZIP codes starting with 686, 687, Boys Town, Children's Nebraska and Secure Care

Phone: 402-982-8419
Email: ProviderExecs@NebraskaBlue.com

Mailing Address:

PO Box 3248, Omaha, NE 68180-0001

Toll Free Number:

877-435-7258

 

You can also:

Download the Provider Reference Directory
Updated 12/29/23