DHHS Internet Website - Medicaid & Long-term Health Care

Nebraska Medicaid Program

Electronic Data Interchange (EDI)

EDI Enrollment

Three forms are required to exchange data electronically with Nebraska Medicaid.

EDI Enrollment Forms	Version	Published
Nebraska Medicaid Trading Partner Profile	1.03	12/15/10
Nebraska Medicaid Trading Partner Authorization	1.4	12/04/07
Nebraska Medicaid Trading Partner Agreement	1.6	01/04/10

Note:  Effective October 1, 2011, Trading Partners will not be allowed to Sign up for 4010 Transactions.

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