Provider FAQs
Appeals
Below you'll find answers to the questions we get asked the most.
- For Appeals Submitted via NaviNet®: You can check the status directly in NaviNet.
- For Appeals Submitted Using the Appeal Request Form: Call the phone number located on the back of the member’s BCBSNE ID card.
No, BCBSNE’s appeals department does not conduct peer-to-peer reviews.
Appeal denial letters will advise the member and the provider if additional appeal options are available and how to submit the request.
BCBSNE will send a letter to the member and provider if all appeal options have been exhausted.
Yes, BCBSNE’s appeals department will review Department of Correction members if the denial is provider liability.