Happening Now

Claims System Transition


Blue Cross and Blue Shield of Nebraska (BCBSNE) is transitioning to a new platform, called HealthRules. HealthRules provides a next generation core administration system for health plans which allows for improved efficiencies in administration.

Our transition will start with FEP CareFirst and BCBSNE’s employee plan on January 1, 2019. We will begin transitioning other business in stages. Throughout this transition our goal is to minimize disruption to our customers. We have captured some of the most important changes that our members and providers will notice.

Need to Know

Member ID Card New ID cards will be provided for BCBSNE employee plan members and FEP members with updated information, such as a new prefix, ID number and Customer Service telephone number. Members must provide their new card to their doctor, pharmacy or facility.

Plan Codes The plan code on the front of the ID card will change when the plan has moved to HealthEdge. Current Plan Code: 263/763 New Plan Code: 259/759

Offsetting HealthRules will offset Dental Claims. FEP will take immediate offsetting for CareFirst and other FEP claims.

Payment Cycles Additional payment cycles will occur with HealthRules. Expect additional weekly payments as well as an additional monthly payment.

Member ID Card

Questions? Reach out to your Provider Executive Team »



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.