Provider Resources

To assist you as you care for our members, we have created this resource page. Please use the quick tips and external links below as a guide for coding, billing, claims and more. Additionally, we have moved all legislative updates to this page for your reference. We appreciate your partnership in supporting Nebraskans’ health journeys.

Current Quick Tip

Rejected or Returned Claims

Oct. 2021

Did you know you can use NaviNet to check the status of a claim?

Learn how to check claim status and submit a new claim.

Read More

Legislative Updates

View updates about these federal mandates and how the legislation may impact providers.

Learn More
Beginning Sept. 1, 2021, BCBSNE’s fully insured products will follow LB487 which allows for cost shares and reimbursement rates for covered telehealth behavioral health services to be the same as the in-person rates.

BCBSNE's Response to LB997
Out-of-network providers in Nebraska may no longer balance bill patients for medical care received from facilities in emergency situations. The recently-passed Legislative Bill 997 (LB997) also known as the Out-of-Network Emergency Medical Care Act, keeps consumers from receiving surprise bills from out-of-network providers or facilities for medical emergencies.

Out-of-network providers will receive remits for these claims. Remits will display the M16 RARC message code which communicates the information below. 

M16 Alert

Providers disputing the payment from BCBSNE may complete an LB997 - Out of Network Emergency Medical Care Act Reimbursement Dispute Request. 

Download the Dispute Request form »


Resources

Provider Website: Home | NE Provider - Healthy Blue
Customer Service: 833-388-1405 (TTY 711); Hours of Operation: Monday — Friday, 8 a.m. to 5 p.m. CT.
Provider Bulletin: October 2020

BCBSNE is proud to support NMA’s peer-to-peer physician coaching program, LifeBridge Nebraska.

To learn more and to view coach profiles, please visit nebmed.org/lifebridge.

The resources shared in this section are for informational purposes only and are not binding to the reimbursement of BCBSNE claims. If you have questions regarding BCBSNE’s billing or reimbursement policies, please consult the BCBSNE Provider Policies and Procedures Manuals or contact your provider executive.