Provider Benefits 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 note: Status of estimated resolution dates for claims processing, both new and adjustments (including reconsiderations), can be found on NaviNet. Please refer there BEFORE sending an email request for review. Email response time is currently up to 5 business days.

*Inquiry Class Type	MedicalDental
*Your First Name:
*Your Last Name:
*Your Phone Number:	ext Leave a message
* Your Email Address:
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You must enter a valid email address to receive a response.
Subscriber and Patient Information I only have a check from BCBSNE and need patient claim information: Federal Employee: Check this box if the patient's identification number starts only with an R, followed by eight numbers (example: R01234567) *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: * Patient First Name: * Patient Last Name: * Patient Date of Birth: Physician *NPI: *Last Name or Facility Name: First Name:
*Expected Date of Service:
Procedure Codes:
Checking Status of a submitted preauthorization:
*Question:
Preauthorization requirements are not provided via Customer Service. To check if preauthorization is required, go to medicalpolicy.nebraskablue.com