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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 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
*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
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:

Claim
Claim Number:
Enter 12-16 digit/character claim number. If no claim number available, leave blank.
*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.

©1998-2023 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.