The Blue Cross and Blue Shield of Nebraska (BCBSNE) Medical Policy Committee (MPC) is composed of practicing physicians within the BCBSNE network. The committee utilizes contract criteria summarized online at www.nebraskablue.com to determine whether a new technology or new application of an existing technology is scientifically valid or investigative.
Updates will be posted after each meeting.
Updates to the Prior Authorization Submission Service in Med Policy Blue
Previously, when prior authorizations were submitted online, providers received a cover sheet which included a 32-character reference number. Now, when prior authorizations are submitted online, providers will be given an event number beginning with an "S" to reference their medical prior authorization submissions. This event number is specific to the submitted prior authorization request and will streamline the process of checking the status of a prior authorization.
Prior authorization requests submitted on pharmacy policies will continue to return a 32-character reference number. This is also true for any cases in which we are unable to match the member's Blue Cross and Blue Shield of Nebraska Identification Number. Contact Customer Service at 1-800-635-0579 for requests to expedite prior authorization reviews or to check the status of a submitted prior authorization.
Another new feature of the online Prior Authorization submission service in Med Policy Blue is a Frequently Asked Questions (FAQ) tab that can assist with common questions regarding submitting medical and pharmacy prior authorizations. Please use the Contact Us tab for any questions that are not addressed in the FAQ.
Medical Policy Drafts
Effective May 1, 2015
Effective May 15, 2015