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  1. Home
  2. Providers
  3. Credentialing
  4. Provisional providers and registered behavioral technicians

Provisional providers and registered behavioral technicians

If you are a provisional provider or registered behavioral technician, complete the Credentialing – Provisional Provider form. 

This form is available at:

NaviNet: Administrative Updates → Secure Forms
Blue Cross and Blue Shield of Nebraska website: Find a Form for Providers

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    • Credentialing
      • Credentialing Timeline
      • New Practitioners
      • Provisional providers and registered behavioral technicians
      • Providers affiliated with a PHO / Delegated Providers
      • Facilities and institutions
    • CAQH Provider Data Portal
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    • Quality Guidelines

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Blue Cross and Blue Shield of Nebraska is an independent licensee of the Blue Cross Blue Shield Association. The Blue Cross Blue Shield Association licenses Blue Cross and Blue Shield of Nebraska to offer certain products and services under the Blue Cross® and Blue Shield® brand names within the state of Nebraska.

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