Provider Contacts

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

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ALL CLAIMS QUESTIONS (30 DAYS FROM SUBMISSION) SHOULD BE FIRST ADDRESSED USING NAVINET OR WITH CSC: Eligibility & Claims Information

FOR IDENTIFIED CLAIM TRENDS OR ESCALATIONS: Please contact the CSC Provider team at ProviderExecs@NebraskaBlue.com include INQ or call reference number from CSC and/or the reason NaviNet was not successful. 


ADDITIONAL INFORMATION: Administrative Updates for Providers 

(Examples: EFT, change of address or demographics, add or term providers, etc.)

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

 

Heather Wolcott

Providers, Specialties and Dentists: Zip codes starting with 680, 681 and Children’s Hospital & Medical Center
Phone: 402-982-8907
Email: ProviderExecs@NebraskaBlue.com

Jennifer Drew

Providers, Specialties and Dentists: Zip codes starting with 688, 690, 691, 692, and 693
Phone: 402-982-6073
Email: ProviderExecs@NebraskaBlue.com

Loraine Miller

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

Jessica (Medura) Bailey

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

Leigh Ingraldi

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

Tawny Archer

Providers, Specialties and DentistsZip codes starting with 686, 687, 689, BoysTown, Secure Care and National Providers

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

Additional Contacts

For FEP Questions: Please contact FEP Customer Service using the inquiry form or by calling 402-390-1879 or 800-223-5584.

For Medicare Advantage Questions: Please call 888-505-2022.

 

Mailing Address:

PO Box 3248, Omaha, NE 68180-0001

Toll Free Number:

877-435-7258

 

You can also:

Download the Provider Reference Directory
Updated 02/17/22