Preauthorization
At Blue Cross and Blue Shield of Nebraska, we are committed to working with our provider community as partners in health care.
Our new Reimagine Preauthorization page will keep you updated on how we're improving our preauthorization processes. Check back often to stay informed on the changes that matter most to you.
Together, we're reimagining the future of preauthorizations.
Protecting members is a top priority. Through research and medical policy, developing and implementing guidelines that encourage member safety continues to be necessary. Utilization management programs, such as pre-service reviews and preauthorizations, provide effective ways to manage member safety and the volume of health care services delivered.
BCBSNE has two preauthorization/pre-service programs designed to keep member safety at the forefront. Pre-service reviews allow us to determine if the procedures are medically necessary and/or investigative, according to the stated criteria and medical policy. This preauthorization requirement is applicable to all BCBSNE members (except Medicare Supplement and FEP members).