Provider FAQs

• For Appeals Submitted via NaviNet^®: You can check the status directly in NaviNet.
• For Appeals Submitted Using the Appeal Request Form: Call the phone number located on the back of the member’s BCBSNE ID card.
  

No, BCBSNE’s appeals department does not conduct peer-to-peer reviews. 

Appeal denial letters will advise the member and the provider if additional appeal options are available and how to submit the request. 

BCBSNE will send a letter to the member and provider if all appeal options have been exhausted.  

Yes, BCBSNE’s appeals department will review Department of Correction members if the denial is provider liability.