Skip to Main Content

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.

Login

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) 

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

Other Resources

Wellcare Medicare Advantage

Join Our Network

Website

Provider Services

Prior Authorization

  • Medical and Behavioral Health
    Phone: Non-Duals plans 1-800-977-7522 (TTY: 711)
    Phone: Duals/D-SNP plans 1-844-796-6811 (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

PRE AUTH CHECK

CHECK CLAIM STATUS 

SUBMIT CLAIM/
CHECK CLAIM STATUS

SIGN UP FOR NEWS

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