Provider Resources Annual Reminder

Date: 07/29/24

Nebraska Total Care gives providers the tools and support to provider comprehensive care to your patients. Our provider website contains essential information. Visit NebraskaTotalCare.com to find important information for your practice and patients.

Online Resources

Health plan staff contact and availability information
Provider Manual and Provider Billing Guide
Pharmacy information
- Procedures, pharmaceutical restrictions/preferences and other pharmacy resources
- Preferred Drug List (PDL)
Newsletters, news, trainings and updates
Forms, informational links ad FAQs

Helpful Information

Practice guidelines and clinical policies
Care Management and Utilization Management resources
Grievance and appeals resources
Quility program information regarding CAHPS, HEDIS and PIPs
Member rights and responsibilities
Affirmative statement about incentives
Utilization Management criteria

Secure Provider Portal

Check patient eligibility
View patient roster
Submit and manage claims
Submit claim reconsiderations online
Submit and check prior authorizations
View patient care gaps
Provider analytics tool
Access to Care Management and Behavioral Health referrals

For questions, additional resources or to request a printed copy of any materials, please contact Provider Relations.