For Providers
Nebraska Total Care gives providers the tools to provide comprehensive care to their patients. Becoming a provider in Nebraska Total Care's network, you receive newsletters, alerts on upcoming education opportunities, and more. Learn more and join the Nebraska Total Care provider network today.
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If you are a contracted Nebraska Total Care provider, you can register now. If you are a non-contracted provider, you will be able to register after you submit your first claim. Once you have created an account, you can use the Nebraska Total Care provider portal to:
- Verify member eligibility
- Manage claims
- Manage authorizations
- View patient list
- Login/Register
Heritage Health Medicaid
Join Our Network
Website
Provider Relations
- Contact your Provider Relations Representative
- Email Provider Relations
- Call 1-844-385-2192 (TTY 711)
Other Resources
Ambetter ACA / Marketplace
Join Our Network
Website
Provider Services
- General or Routine Questions: Call Provider Services at 1-833-890-0329 (TTY 711)
- Complex Questions or Concerns: Please use this Contact Us Form. You will receive a follow-up message within 48 hours.
Prior Authorization
- Behavioral Health
Inpatient Prior Auth Fax:
1-833-538-0868 - Behavioral Health
Outpatient Prior Auth Fax:
833-538-0885
Other Resources
Wellcare Medicare Advantage
Join Our Network
Website
Provider Services
- For non-duals/C-SNP plans:
1-833-542-0693 - For duals/D-SNP plans:
1-833-853-0864
Prior Authorization
- Medical Inpatient Prior Auth
Fax: 1-833-981-4176 - Medical Outpatient Prior Auth
Fax: 1-833-981-4176 - Behavioral Health Inpatient
Prior Auth Fax: 1-833-981-4182 - Behavioral Health Outpatient
Prior Auth Fax: 1-833-981-4183 - Pharmacy Prior Auth
Phone: 1-800-867-6564
Fax: 1-866-226-1093
Other Resources
Provider Quick Links
PRE AUTH CHECK
SUBMIT CLAIM/
CHECK CLAIM STATUS
SIGN UP FOR NEWS
Provider Changes and Demographic Updates
There is an easy way for you to request updates to your information and ensure we receive what we need to complete your request in a timely manner. Simply submit provider updates.
As a Nebraska Total Care provider, you can rely on:
- A comprehensive approach to care for your patients through disease management programs, healthy behavior incentives and 24-hour toll-free access to bi-lingual registered nurses
- Initial and ongoing provider education through orientations, office visits, training and updates
- A dedicated claims team to ensure prompt payment
- Minimal referral requirements and limited prior authorizations
- A dedicated provider relations team to keep you informed and maintain support in person or by phone
- The ability to check member eligibility, authorization and claims status online
- Healthcare collateral for your patients (e.g., information about our benefits and services) and educational displays for your office