Nebraska Medicaid Program
Electronic Data Interchange (EDI)
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All providers are strongly encouraged to conduct Medicaid business electronically. Nebraska Medicaid supports all HIPAA-mandated electronic healthcare transactions, including:
- Claims (Dental, Professional and Institutional)
- Claims Acknowledgement
- Remittance Advice
- Claim Status Inquiry
- Client Eligibility Inquiry
- Health Care Services Review (Authorization Requests)
- Premium/Capitation Payments
- Benefit Enrollment/Disenrollment
We also support and strongly encourage use of Electronic Funds Transfer of your Medicaid payments.
To learn more about EDI options, check out EDI Frequently Asked Questions. If you don’t find what you need, contact the Medicaid EDI Help Desk.
For a listing of current Nebraska Medicaid EDI Clearinghouses and their 5010 activity status click here HIPAA Trading Partner Activity Status Report. Please check the publication date as the spreadsheet will be updated on a regular basis.
For additional information on Electronic Claim Rejections, check out EDI Electronic Claim Frequently Asked Questions.
5010 Frequently Asked Questions
EDI Enrollment 5010
EDI Submission Requirements/Companion Guides 5010
EDI Reports Testing 5010
HIPAA Administrative Simplification - Operating Rule
ICD-10 Implementation Project
Late or Missing EFT Resolution Procedures
Late or Missing ERA Resolution Procedures
Link to Washington Publishing Company HIPAA Code Lists
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