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 PDF 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 Testing

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

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

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