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

To learn more about EDI options, review our EDI Frequently Asked Questions.  If you are unable to find the information you were searching for, please contact the Medicaid EDI Help Desk.

EDI Enrollment

EDI Frequently Asked Questions

EDI Reports Testing

EDI Submission Requirements/Companion Guides

EDI Testing

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

Medicaid EDI Help Desk
866-498-4357 (toll free) or 402-471-9461 (in Lincoln)
Email: DHHS.MedicaidEDI@nebraska.gov

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