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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)

Ambetter (Marketplace) 

Wellcare (Medicare) 

Heritage Health Medicaid

Join Our Network

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Provider Relations

Other Resources

Ambetter ACA / Marketplace

Join Our Network

Website

Ambetter Contact Us

  • 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.

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: 1-844-222-3180
  • Medical Outpatient Prior Auth
    Fax: 1-844-222-3180
  • Behavioral Health Outpatient Prior Auth Fax: 1-844-222-3180
  • 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