Blue cross blue shield nebraska prior authorization form

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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Medical Policy Disclaimer

The Medical Policies you are about to view are the property of Blue Cross Blue Shield of Nebraska (BCBSN). They have been developed by the BCBSN Medical Policy Committee (Committee) for use by BCBSN in determining the scientific validity of new and existing medical technologies, treatments, devices, drugs, etc. In developing these evidence-based Medical Policies, the Committee reviews scientific publications, including but not limited to, high quality peer-reviewed journals and periodicals. The Medical Policies are used in administering plan benefits and do not constitute medical advice. Physicians and other health care providers are responsible for providing medical advice and treatment. The Committee reviews new technologies as they emerge as well as existing Policies on a regular basis; therefore, these Policies are subject to change without notice. These Medical Policies do not constitute authorization, certification or a contract for benefits. Benefits for a particular service or item are determined by the terms and conditions of the applicable benefit contract.

These policies reference CPT codes. Current Procedural Terminology (CPT) is copyright 2003 American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use.

Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled "Accept."

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Blue Shield of Nebraska is an independent licensee of the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield Association licenses Blue Cross and Blue Shield of Nebraska to offer certain products and services under the Blue Cross® and Blue Shield® brand names within the state of Nebraska.