Healthy Blue, an Anthem Company Nebraska Providers

Nebraska Providers

Welcome Providers!

At Healthy Blue, we value you as a provider in our network. That's why we’ve created a new experience for providers to make it more useful and easier to use.

Interested in joining our provider network? We look forward to working with you to provide quality services to our members.

Update Your Provider Information

Starting on January 1, 2021, WellCare of Nebraska will be operating on Healthy Blue systems, which will require providers to be enrolled with Healthy Blue and submitting claims in accordance with their Nebraska Medicaid enrollment profile. 

Failure to correct inaccurate information, or bill utilizing Medicaid enrollment profile data, will result in claim rejections as of January 1, 2021.  

Transitioning providers commonly need to update:
  • NPI
  • Taxonomy
  • Address including ZIP+4
  • Group affiliation
Please visit  Maximus to review your Medicaid enrollment profile to ensure all data is correct. 

COVID-19 Information

Healthy Blue is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners.

Availity Access

Availity offers health care professionals free access to real-time information and instant responses in a consistent format, regardless of the payer.

With Availity, you can:

Request authorizations.
Submit claims.
Confirm eligibility.

Learning opportunities

Find learning opportunities to assist with administering your patient’s health plan using Availity Essentials multi-payer features and payer spaces applications. Use the library of self-paced courses and instructor-led training sessions, available 24/7 at no cost. Be prepared with the knowledge to assist our members.

Receive email from Healthy Blue

Healthy Blue is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email.

Provider News

Get the latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.

Featured Resources

Pharmacy Information

Search for up-to-date drug information, including hundreds of brand-name and generic medications.

Prescription Drug Monitoring Program

The Prescription Drug Monitoring Program (PDMP) is a program through which prescriptions are tracked to help identify patient who may be misusing opiods or other controlled substances. All providers who prescribe C-II controlled substances to Medicaid members must review the prescription drug history in the Nebraska PDMP within seven (7) days prior to prescribing the C-II medication. For additional information, please see the PDMP presentation:

Maternal Child Program

When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. That’s why we encourage all our moms-to-be to take part in our New Baby, New LifeSM program. The New Baby, New Life program is a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.

Behavioral Health Provider

We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts, and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.

Provider Tools & Resources

Interested in becoming a provider in the Healthy Blue network?

We look forward to working with you to provide quality service for our members.