Claim Filing for BlueCard^® Members

Whenever a member of another Blue Plan receives services from you, file the claim with the local Blue Plan. Typically, your local Blue Plan is Blue Cross and Blue Shield of Nebraska (BCBSNE). However, the determination of “local” Blue Plan can differ for contiguous county providers and ancillary providers.  

When BCBSNE is the local Plan, we work with the member’s Blue Plan to process the claim. Once the claim is processed, the member’s Blue Plan will send the member an explanation of benefits (EOB). BCBSNE will send you the remittance advice (RA) and claim payment for covered services.  

Note: 

• Benefits are determined by the member’s Blue Plan.
• Payment for covered services is made to the provider according to the terms of the provider agreement.  

Below is an example of how claims flow through BlueCard: 

 

 
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