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Provider Claims 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.

*Inquiry Class Type
*Inquiry Type:
*Your First Name:
*Your Last Name:
*Your Phone Number:  ext
 
* Your Email Address:

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

Physician

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

Claim

*Claim Number:
*Billed Charges:
*Dates of Services:  to 
*Question:

Please note that if the patient is a member of an out-of-area Blue Cross Blue Shield plan, your claims, appeals and reconsiderations may take longer than 60 days due to coordination with other Blues plans.

 
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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.