Name Change – Facility/Clinic
General
Policy Number: GP-025
Last Updated: May 24, 2022
Blue Cross and Blue Shield of Nebraska must be notified by letter or email, whenever a facility/clinic changes its name but keeps the same tax ID, ownership, location and providers.
The request must include all the following:
- Previous (current) name
- New name
- NPI(s) – multiple NPIs all must be listed
- Updated copy of NE license showing the name has been updated with NE Department of Health and Human Services (DHHS)
- If the facility/clinic has multiple lines of business (skilled nursing, home health, hospice, HME, etc.), those entities must also be listed in the request
For questions on how to submit or check the status of an update, send an email to CredentialingRequests@NebraskaBlue.com.