Provider FAQs

NaviNet®

Below you'll find answers to the questions we get asked the most.

When looking at the claim in NaviNet, the detail is provided just above the claim-level information. It could be for another claim or another procedural code.

Non-Nebraska members claim denials are determined by the member’s plan and will not display in NaviNet. 

The enhanced denial messages are exclusively available in NaviNet.

This will apply to claim denials for claim types: Professional, Institutional and Dental.

Enhanced messaging on claim denial reasons was added Dec. 29, 2023.

Please refer to your coder/biller for additional review prior to sending a claim investigation.

Participating health care and dental providers, and non-participating health care providers within the state of Nebraska who have their information on file with Blue Cross and Blue Shield of Nebraska (BCBSNE) can enroll for access to Navinet.
No, there is no cost to access NaviNet. BCBSNE offers the NaviNet features and functionality at no charge.  

Each office must have a minimum of one Security Officer who is responsible for registering with NaviNet, adding users to the account, and granting user access. Your designated security officer should go to https://register.navinet.net to begin the registration process.

  • Registration takes between five to seven business days.
  • Registration requires a Tax ID and email address.
  • Each user will have their own username and password. No sharing is allowed.
  • Users have 60 days to log in for the first time before they will become disabled.
  • Users should see their Security Officer to have their password reset if they become disabled. 
  • See the Provider Registration Flyer for more information.
 

You may check the status of your NaviNet registration at any time from the Registration Page or Help Center.

If you are an existing NaviNet user, and are either a participating BCBSNE network provider, or are a healthcare provider within the state of Nebraska, you should see Blue Cross and Blue Shield of Nebraska as an option in your Health Plans List. 

Yes, a third-party billing service can register with NaviNet, but for security, the registration process will include validation and authentication with the provider office before access is permitted. You can contact your Security Officer for help in adding new users or you can provide the billing service with this link to register as a third party with NaviNet.

Please verify that the phone number and address you entered when registering for NaviNet matches the phone number and address you have on file with BCBSNE. 

If this information is valid and you are still unable to register, please email ProviderExecs@NebraskaBlue.com.

To report a technical problem, contact the NaviNet help desk at 888-482-8057 – available Monday - Friday, 7:00 a.m. – 10:00 p.m. CT, Saturday, 7:00 a.m. – 2:00 p.m. CT.
For PHO providers, please contact your PHO representative directly.
For newly credentialed providers without access to NaviNet, you will receive information on how to register with your BCBSNE acceptance letter. You may also watch the eLearning videos found in the Provider Academy.

If you are not registered for NaviNet please see our Provider Academy page.

For providers who do not belong to a PHO and are not a newly credentialed provider, please follow the steps below. Please note: The Provider Executive Team does not send fee schedules. To access fee schedules, please log in to NaviNet®.

Your system administrator will need to give you access to Practice Documents. If they have any questions on how to do this, they will need to call NaviNet directly at 1-888-482-8057. If they already have, when you log in, under workflow you will need to click Practice Documents.

 NaviNet workflow practice documents 

Your next steps will be to attest.

NaviNet Supported Billing Entities

Once you attest you should be able to bring up the fee schedule. If you still cannot view your fee schedule, your system admin/security officer will need to change/update the user permission. It will state Security Office-User Permission and edit access and enable practice documents. If your system admin (or if you are the system admin) need assistance on this, please contact NaviNet directly at 1-888-482-8057.

NaviNet on new Windows 10 for Internet Explorer (or they can skip these steps and use Google Chrome): 

  1. Go to the NaviNet login page.
  2. Prior to logging in, click the blue stop indicator in the URL line, between the lock and refresh. 
    Turn off ActiveX Filtering
    ActiveX Filtering
  3. You’ll get a pop up, click “Turn off ActiveX Filtering”.
  4. This turns off the ActiveX Filtering for all downstream sites connected to the NaviNet login page. You’re all set!

Yes, all in-network providers, as well as the vendors supporting them, are required to use NaviNet for claims, benefits, and other questions.

After performing a Claim Status Search, specific denial reasons will be shown for each denied claim line in Claim Status Details. Denial messages corresponding to the claim line number will be displayed directly above the Claim and Service Line Details.

You may check the status of your NaviNet registration at any time from the Registration Page or Help Center. 

If a provider’s registration information is accurate, complete, and matches the information we have on file, the NaviNet registration process should take five to seven business days. If anything does not match, NaviNet will attempt to reach the provider by phone for clarification. 

Upon initial enrollment, you will get an acknowledgment email from enrollment@navinet.net. Once confirmed, you will get another email with login information and next steps.

Visit the NantHealth Help Center to register as a third party with NaviNet and follow the steps on the page. 

If there are questions or concerns regarding member eligibility and claim status, please reach out to our Customer Service department at 800-635-0579.

For questions regarding logging in, access, setting up new users, or navigating the website, please reach out to NaviNet directly at 888-482-8057.