Complete and mail the original, signed copy of the trading partner agreement to:
Department of Health and Human Services ATTN: Medicaid EDI Help Desk P.O. Box 95026 Lincoln, NE 68509-5026
The trading partner profile and trading partner authorization forms can be emailed or faxed after completion. Fax: (402) 742-2353; Email:
If you are an enrolled trading partner, but would like to add a new transaction, complete a new Nebraska Medicaid trading partner profile. Fax (402) 742-2353, Email or mail the completed form to the address listed above. Contact the EDI Help Desk to begin
To begin or discontinue submitting transactions for a provider, complete a Nebraska Medicaid trading partner authorization.