Provider Contacts

BCBSNE subscribers
(Commercial, Federal Employee Program Service Benefit Plan (FEP SBP) for both Federal Health Plan (FEHB) and Postal Service Health Benefits (PSHB))

Eligibility and Benefits:
Online: Visit NaviNet.net. Log in, select “Health Plans,” then “BCBSNE.” Under “Workflows for this Plan,” select “Eligibility and Benefits.”
Phone: 800-635-0579

Dental Benefits:
Phone: 800-635-0579

Medical Claim Status:
Online: Visit NaviNet.net. Log in, select “Health Plans,” then “BCBSNE.” Under “Workflows for this Plan,” select “Claims Status.”
Automated: 800-635-0579
Phone: 800-635-0579 (M – F, 7:30 a.m. – 5 p.m. CT)

BCBSNE subscribers outside of Nebraska

National BlueCard^® 800# Network:
Phone: 800-676-BLUE (2583)

Medicare Advantage subscribers

Eligibility and Benefits:
Phone: 888-505-2022
Online: Visit NaviNet.net. Log in, select “Health Plans,” then “BCBSNE.” Under “Workflows for this Plan,” select “Eligibility and Benefits.”

Medical Claim Status:
Phone: 888-505-2022
Online: Visit NaviNet.net. Log in, select “Health Plans,” then “BCBSNE.” Under “Workflows for this Plan,” select “Claims Status.”

Inpatient admission (behavioral health)
Health Service Programs Department:
Phone: 402-390-1870 or 800-247-1103

Inpatient admission (medical/surgical)
Health Service Programs Department:
Phone: 402-390-1870 or 800-247-1103 option 2
Online: Visit NaviNet.net. Log in, select “Health Plans,” then “BCBSNE.” Under “Workflows for this Plan,” select the preauthorization link needed.

Skilled nursing facility or rehab admission
Health Service Programs Department:
Phone: 402-390-1870 or 800-247-1103 option 2

Urgent radiology preauthorization requests
Health Service Programs Department:
Online: Visit NaviNet.net. Log in, select “Health Plans,” then “BCBSNE.” Under “Workflows for this Plan,” select the preauthorization link needed.

FEP – Intensive outpatient, partial care or inpatient admissions (behavioral health)
Health Service Programs Department:
Phone: 402-390-1870 or 800-247-1103 option 2

FEP – Submit an outpatient treatment plan form for behavioral health visits
Health Service Programs Department:
Fax: 402-343-3444

Preauthorization request
Health Service Program Department:
Fax: 800-255-2838
Online: Visit NaviNet.net. Log in, select “Health Plans,” then “BCBSNE.” Under “Workflows for this Plan,” select the preauthorization link needed.

Pharmacy preauthorization
Commercial, FEP SBP - FEHB and PSHB
Phone: 877-999-2374
Online: Visit NaviNet.net. Log in, select “Health Plans,” then “BCBSNE.” Under “Workflows for this Plan,” select the pharmacy preauthorization link needed. If you are unable to submit a pharmacy preauthorization online through NaviNet, you can print the form. See all pharmacy preauthorization forms.

Medicare Advantage Pharmacy Preauthorization
We contract with PrimeMRx Part B drugs/medications. Please submit preauthorization requests directly to PrimeMRx.
Hours of operation: 24 hours a day
Phone: 800-424-1709
Fax: 888-656-6671
Online: MRxGateway.com

Medicare Advantage inpatient and SNF notifications
Phone: 877-399-1671
Online: Visit NaviNet.net. Log in, select “Health Plans,” then “BCBSNE.” Under “Workflows for this Plan,” select the preauthorization link needed.