Check Claim Status

Most Popular Method -- NaviNet Provider Portal

Instantly check claims status, see member benefits, eligibility and remittance advice.

Inquire About a Claim

In response to your feedback, BCBSNE has launched a new claim response process designed to encourage efficient resolution of claim questions and inquires.

Claim Response Process

Step One: First Contact

Step Two: Escalating

  • Prior to escalating, please attempt to resolve your claim questions or issues twice using the Inquire About a Claim form. After two attempts, you may escalate to Please include your email inquiry numbers and summary of your concern.

Connect with BCBSNE

For a quick and detailed response from an expert representative, you can also submit an inquiry by selecting the appropriate topic below.



The percentage of the bill you pay after your deductible has been met.


A fixed amount you pay when you get a covered health service.

Tiered benefit plan

A health care plan featuring multiple levels of benefits based on the network status of a particular provider. 


The annual amount you pay for covered health services before your insurance begins to pay.

emergency care services

Any covered services received in a hospital emergency room setting.


Includes behavioral health treatment, counseling, and psychotherapy

in-network provider

A provider contracted by your insurance company to accept an agreed upon payment for covered services. 

OUT-OF-network provider

A term for providers that aren’t contracting with your insurance company. (Your out-of-pocket costs will tend to be more expensive if you go to an out-of-network provider.)


Your expenses for medical care that aren’t reimbursed by insurance, including deductibles, coinsurance and co-payments.


If you can afford health insurance, but choose not to buy it, you must have a health coverage exemption or pay a tax penalty on your federal income tax return.


The amount you pay to your health insurance company each month. 

Preventive services

Health care services that focus on the prevention of disease and health maintenance.


Services and devices to help you recover if you are injured or have surgery. This includes physical, occupational and speech therapy.

special enrollment period

The time after the Open Enrollment Period when you can still purchase health insurance only if you have a qualifying life event (losing other health coverage, having a baby, getting married, moving).


A physician who has a majority of his or her practice in fields other than internal or general medicine, obstetrics/gynecology, pediatrics or family practice.