WELCOME TO MED POLICY BLUE

Now you can access and learn more about Blue Cross and Blue Shield of Nebraska's medical policies quickly and easily-and at your convenience. You can choose to view a listing of all policies or search for a specific policy.

Preauthorization: Obtaining an authorization for certain required types of care and services before they are performed, which can be found on this medical policy site. Authorization requests can take up to 15 calendar days to complete. Please allow at least 15 days from the time of your request to receive notification of our decision. If you are a Nebraska provider, please request preauthorization using NaviNet.

Precertification: Obtaining certification for all acute (non-emergency) inpatient and observation admissions to hospitals or facilities on or before the first day of admission. This requirement includes skilled nursing facility admissions, inpatient physical rehabilitation, services such as home health nursing visits and hospice care, and inpatient mental health and residential admissions. This requirement excludes labor and delivery hospital stays (48 or 96 hour admissions). To obtain precertification for these levels of care please call 1-800-247-1103 if you are an out of state provider. If you are a Nebraska provider please request precertification using NaviNet.

For questions about preauthorizations and precertifications, please contact us at 1-800-247-1103.

If you have any questions about our medical policies, please feel free to contact us. We're happy to help.

     

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