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Provider Fraud Inquiry

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). Please allow up to 3 business days for a response.

*Your First Name:
*Your Last Name:
*Your Phone Number:  ext
 
* Your Email Address:

Your Address

Address:
City:
State:
ZIP:
*Response Method:

Subscriber and Patient Information

I only have a check from BCBSNE and need patient claim information:
Federal Employee:
*Prefix/ID Number: -

The patient's Blue Cross and Blue Shield of Nebraska identification number (including the prefix) is located on the front of their ID card.
 

*Subscriber First Name:
*Subscriber Last Name:


Person Complaint is About

*First Name:
*Last Name:
Address:
City:
State:
ZIP:
Phone Number:  ext 
Incident Date:
*Summary of Complaint:

 
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© 2019 Blue Cross and Blue Shield of Nebraska.
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.