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Federal Employee Plan: Provider Claims Inquiry

ATTENTION: This form is only available for claim inquiries related to Federal Employee ID numbers.

The online inquiry process to Customer Service has changed! You will now use a new feature in NaviNet called Claim Investigation to submit an inquiry regarding a claim. Simply log in to NaviNet, perform a Claim Status Search, and look for the new “Investigate” button at the top of your Claim Status Results page.

For more information on the NaviNet Claim Investigation process, please visit: Eligibility & Claims Information for Providers | BCBSNE (nebraskablue.com)

For the quickest, most accurate response, please fill in as much information as possible. We will respond to you by e-mail. (* denotes required fields) Email response time is currently up to 5 business days.

*Inquiry Class Type
*Inquiry Type:
*Your First Name:
*Your Last Name:
*Your Phone Number:  ext
 
* Your Email Address:
* Re-enter Your Email Address:
 
You must enter a valid email address to receive a response.

Subscriber and Patient Information
*Federal Employee Plan Prefix/ID Number: -

The Federal Employee patient's ID number starts only with an R, followed by 8 numbers (example: R12345678).
 

*Subscriber First Name:
*Subscriber Last Name:
* Patient First Name:
* Patient Last Name:
* Patient Date of Birth:

Physician
*NPI:
*Last Name or Facility Name:
First Name:
   

Claim
Claim Number:
Enter 11-13 digit/character claim number. If no claim number available, leave blank.
*Billed Charges:
*Dates of Services:  to 
*Question:

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Blue Cross and Blue Shield of Nebraska is an independent licensee of the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield Association licenses Blue Cross and Blue Shield of Nebraska to offer certain products and services under the Blue Cross® and Blue Shield® brand names within the state of Nebraska.