Medical billing services in Nebraska
Billing, coding, credentialing and A/R follow-up for providers in Nebraska.
Billing in Nebraska: what is different
Heritage Health plans cover physical health, behavioral health and pharmacy for most members.
Key payers and contractors in Nebraska
- Medicare Part A/B
- WPS Government Health Administrators, Jurisdiction J5Portal: WPS GHA Portal
- Medicare DME
- Noridian, DME MAC Jurisdiction DDME supplier claims only · Portal: Noridian Medicare Portal (NMP)
- Medicaid
- Nebraska Medicaid (Heritage Health)
- Blue Cross Blue Shield
- Blue Cross and Blue Shield of Nebraska
- Medicare Advantage
- UnitedHealthcare, Humana, Aetna, Wellcare, Blue plans and others, depending on the county
Contractor assignments and plan lists change. We confirm the current setup for your practice during onboarding.
How we work with Nebraska providers
- Medicaid enrollment with the state, then credentialing with each managed care plan you need
- Medicare enrollment through PECOS and claims with WPS Government Health Administrators through the WPS GHA Portal
- Credentialing and contracting with commercial and Blue plans
- Eligibility checks that confirm each patient’s plan and assigned MCO before the visit
- Prior authorization tracking by plan
- Denial, appeal and A/R follow-up under each payer’s filing limits
Medical billing in Nebraska: common questions
Do you bill Nebraska Medicaid and its managed care plans?
Yes. We bill Nebraska Medicaid fee-for-service claims and each Medicaid managed care plan, after confirming the patient’s assigned plan for the date of service.
Who processes Medicare claims in Nebraska?
Medicare Part A and B claims in Nebraska are processed by WPS Government Health Administrators (Jurisdiction J5), and we submit and track them through the WPS GHA Portal. DME supplier claims go to a different contractor, Noridian (DME MAC Jurisdiction D), through the Noridian Medicare Portal (NMP).
Can you credential new providers in Nebraska?
Yes. We handle state Medicaid enrollment, Medicare enrollment, CAQH and credentialing with the commercial and managed care plans you need in Nebraska.
Neighboring states and key payers
Get a free billing audit for your Nebraska practice
Send a few details and we will set up a short call to review your claims, denials and A/R. No cost and no commitment.
We sign a Business Associate Agreement before we handle any patient data.