Split-Year Claim Submission

Non-Nebraska Outpatient and Professional Claims

For outpatient and professional claims with charges incurred during different years, the charges must be submitted on separate claims. This requirement will be the same each year end for split-year claims.  

Claims for non-Nebraska members that are not split will reject back to the provider upon submission. 

For example:
If dates of service are from Dec. 15, 2024, to Jan. 15, 2025:

• Submit charges incurred from Dec. 15, 2024, to Dec. 31, 2024, on one claim 
• Submit charges incurred from Jan. 1, 2025, to Jan. 15, 2025, on a separate claim 

Claims submitted with charges incurred during both years on the same claim will be rejected back to the provider to split the claim.