Contacts for Providers

Reference Directory (pdf)

Use the reference directory to find phone, fax and e-mail contacts.

 

Provider Relationship Manager Map (pdf)

Map of Nebraska zip codes to locate Provider Relationship Manager
  • Please locate the first three digits of your ZIP code to identify your Provider Relationship Manager.
  • The ZIP code area specified includes all hospitals, facilities and professional providers unless noted.

 

680 - Ashley Trice

Additional Providers and Specialties: Boys Town National Research Hospital, Methodist Health System, Ehrling Bergquist, Midwest Surgical Center, Remote Specialty Pharmacy and DME within 680 ZIP code
PO Box 3248, Omaha, NE 68180-0001
Phone: 402-982-8444 or 877-435-7258
E-mail: ashley.trice@nebraskablue.com

 

681- Patricia Cavanaugh

Additional Providers and Specialties: CHI Health, Children’s Hospital & Medical Center, Think Whole Person Healthcare and National Laboratories
PO Box 3248, Omaha, NE 68180-0001
Phone: 402-982-7639 or 877-435-7258
Fax: 402-343-3441
E-mail: patricia.cavanaugh@nebraskablue.com

 

683-685 - Rhonda Bopp

Additional Providers and Specialties: Federal Employee Program, Veterans Administration, Select Specialty Hospital in Omaha/Lincoln, Avesis, One Health, Madonna and DME within 683-685 ZIP codes
1233 Lincoln Mall, Lincoln, NE 68508-2802
Phone: 402-458-4806 or 877-435-7258
Fax: 402-477-2952
E-mail: rhonda.bopp@nebraskablue.com

 

686-687 and 692 - Deborah Synowicki

Additional Providers and Specialties: Ambulance (statewide), Secure Care, Nebraska Medicine, Home Infusion (statewide), Nebraska Health Network and DME within 681; 686; 687; 692 ZIP codes as well as remote DME
PO Box 3248, Omaha, NE 68180-0001
Phone: 402-982-7820 or 877-435-7258
Fax: 402-398-3875
E-mail: deborah.synowicki@nebraskablue.com

 

688-691 and 693 - Loraine Miller

Additional Providers and Specialties: Statewide Dialysis, Statewide Hospice and DME within 688-691 and 693 ZIP codes
PO Box 3248, Omaha, NE 68180-0001
Phone: 402-982-8321 or 877-435-7258
Fax: 402-343-3404
E-mail: loraine.miller@nebraskablue.com

 

Dental Providers Statewide

Additional Providers and Specialties: PRM assigned to your office ZIP code location
Phone: 877-435-7258
E-mail: providersolutions@nebraskablue.com

 

HEALTH INSURANCE TERMS


COINSURANCE

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

COPAY

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. 

DEDUCTIBLE

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.

SUBSTANCE ABUSE DISORDER SERVICES

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.)

out-of-pocket

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

penalty

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.

premium

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.

rehab SERVICES

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).

specialist

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.