Verification of Enrollment

General
Policy Number: GP-X-048 

Last Updated: June 17, 2022 

As an in-network provider, it is expected that you will use all reasonable efforts to obtain the patient’s eligibility status. There are several ways to obtain a patient’s eligibility information, including online or by phone.  

The preferred method of checking eligibility and benefits is through NaviNet. Once logged into NaviNet, you can verify eligibility and benefits for all Blue Cross and Blue Shield of Nebraska (BCBSNE) and BlueCard© members, as well as Federal Employee Program (FEP) members.  

You can also check eligibility status by an online inquiry at NebraskaBlue.com/Providers/Eligibility-and-Claims. Under “Check Member Eligibility and Verify Benefits,” click on “Verify Benefits” and complete the form.  

You may also check eligibility and benefits by calling:  

  • 800-635-0579 (GABBI system to check eligibility and benefits for BCBSNE members). Must provide:  
    • NPI (National Provider ID)  
    • Tax ID  
    • Member ID number  
    • Patient date of birth  
  • 800-676-BLUE (2583) (BlueCard Eligibility Line to check eligibility and benefits for members insured by an out-of-state Blue Plan) – must provide the three-character prefix
  • 402-390-1879 or 800-223-5584 (FEP Program Service to check eligibility and benefits for members enrolled under the FEP)

BlueCard® - registered derivative