Healthybluene.com

Home NE Provider

WEBWelcome Providers! Effective January 1, 2024, Healthy Blue will no longer participate in Nebraska’s Medicaid Managed Care Program. Healthy Blue will continue to be …

Actived: 7 days ago

URL: https://provider.healthybluene.com/nebraska-provider/home

Behavioral Health Healthy Blue

WEBIntegrated Health Care. Healthy Blue facilitates the integration of physical and behavioral health services as a vital part of health care. Our mission is to improve the physical and …

Category:  Health Go Health

Disease Management Healthy Blue

WEBHow to contact us. Email us at [email protected] anytime or call 1-888-830-4300 from 8:30 a.m. to 5:30 p.m. local time, Monday through Friday, to …

Category:  Health Go Health

Member Secure Application

WEBMember Secure Application is a website that allows you to log in to enroll in Healthy Blue, a Medicaid plan that offers comprehensive health care benefits for eligible Nebraskans. …

Category:  Health Go Health

Full list of Medical Policies and Clinical Guidelines

WEBMedical Policy. Administrative. ADMIN.00006 Review of Services for Benefit Determinations in the Absence of a Company Applicable Medical Policy or Clinical Utilization …

Category:  Medical Go Health

Provider Resources Healthy Blue

WEBBehavioral Health. Healthy Blue’s behavioral health provider network includes psychiatrists, psychologists, social workers, psychiatric nurses, and other mental health …

Category:  Health Go Health

Maternal Child Services Healthy Blue

WEBPregnancy. Delivery. Healthy Blue requires notification of pregnancy after the first prenatal visit and notification of delivery following birth. You can complete the notifications …

Category:  Health Go Health

Guide to drug coverage under medical benefit Healthy Blue

WEBPrescription drugs are covered in two ways—through the Healthy Blue pharmacy benefit or via medical benefit. The method of coverage depends on whether the drug is self …

Category:  Medical Go Health

Early And Periodic Screening, Diagnostic, And Treatment

WEBWe also reach out to these members, encouraging them to contact their PCPs to set up appointments for needed services. If you are interested in obtaining this information to …

Category:  Health Go Health

Learn About Availity Healthy Blue

WEBTo change administrators: Please call Availity Client Services at 1-800-AVAILITY (282-4548) Monday to Friday 7 a.m. to 7 p.m. CT. To update organization information, if …

Category:  Health Go Health

Prior Authorization Requirements Healthy Blue

WEBPrior authorization always required. These behavioral health codes always require prior authorization: 0240–0249. All-inclusive ancillary psychiatric. 0901, 0905–0907, 0913, …

Category:  Health Go Health

Prior Authorization Lookup Tool Healthy Blue

WEBTo determine coverage of a particular service or procedure for a specific member, do one of the following: Access eligibility and benefits information on the Availity Essentials . Use …

Category:  Health Go Health

Clinical Utilization Management Guidelines

WEBhttps://provider.healthybluene.com Healthy Blue is the trade name of Community Care Health Plan of Nebraska, Inc., an independent licensee of the Blue Cross and Blue …

Category:  Health Go Health

Provider Manuals And Guides Healthy Blue

WEBThe Healthy Blue provider manual provides key administrative information, including the quality improvement program, the UM program, quality standards for participation, …

Category:  Health Go Health

Healthy Blue FAQ

WEBo Non-behavioral health: 1-800-964-3627 o Behavioral health: Inpatient: 1-844-462-0024 Outpatient: 1-844-462-0027 Healthy Blue Provider Services: 1-833-388-1406 Monday to …

Category:  Health Go Health

Join Our Network Healthy Blue

WEBWe’re glad to hear that you are interested in joining the Healthy Blue network. We have a diverse network of exceptional health care professionals who ensure our members have …

Category:  Health Go Health

Claims Submissions And Disputes Healthy Blue

WEBTo check claims status or dispute a claim: From the Availity home page, select Claims & Payments from the top navigation. Select Claim Status Inquiry from the drop-down …

Category:  Health Go Health

Reimbursement Policies Healthy Blue

WEBReimbursement Policies. We want to assist physicians, facilities and other providers in accurate claim submissions and to outline the basis for reimbursement if the service is …

Category:  Health Go Health

What’s new now that we are Healthy Blue

WEBAIM Specialty Health is an independent company providing some utization review services on behalf of Healthy Blue. https://provider.healthybluene.com . Healthy Blue is the …

Category:  Health Go Health

Electronic Data Interchange (EDI) Healthy Blue

WEBHealthy Blue uses Availity as its exclusive partner for managing all electronic data interchange (EDI) transactions. EDI, including electronic remittance advices (ERA) and …

Category:  Health Go Health

Contact Us Healthy Blue

WEBContact Healthy Blue provider services at 833-405-9086.

Category:  Health Go Health