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
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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 (TTY: 711) - For Duals/D-SNP plans:
1-833-853-0864 (TTY: 711)
Prior Authorization
- Medical and Behavioral Health
Phone: Non-Duals plans 1-833-542-0693 (TTY: 711)
Phone: Duals/D-SNP plans 1-833-853-0864 (TTY: 711) - 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
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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