Emailing Provider Executives
Emails are handled in the order received; however, emails are not worked unless the below information is included.
- Provider name, NPI and TIN
- Claim numbers (if applicable)
- Member name and ID
- DOS
- Expected outcome or reimbursement
Additionally, the appropriate steps MUST be followed first BEFORE submitting an escalation request to this email box.
Step One: NaviNet®
Please access NaviNet for all member, claim, authorization and appeal needs. If you do not have access to NaviNet please register by following the steps under Provider Academy.
Step Two: Contact
If NaviNet is unsuccessful, please use the claims investigation tool located in NaviNet.
Step Three: Escalating
For claim escalation needs that you are unable to resolve through NaviNet or Customer Service Claims Investigation, you can email this email box and include why NaviNet or Claims Investigation was not successful including the inquiry number from Customer Service.
FOR FEE SCHEDULES:
All fee schedules are available in NaviNet and will NO LONGER be available via CSC, email or inquiry.
If you are affiliated with a PHO, you must obtain the fee schedule from the PHO.
FOR TIMELY FILING:
Please submit your request via NaviNet using the Timely Filing form.
Please remember – COB is not a member ID exception please complete the reconsideration form on NaviNet if another insurance was billed, recouped or denied the claim and you then submitted to BCBSNE.
Provider Executives no longer address COBs submitted incorrectly on a timely filing form.