Nebraska
Medicaid Program
Electronic Data Interchange (EDI)
Here are some frequently asked questions and answers about Electronic Data
Interchange with Nebraska Medicaid. If you don’t find your questions and answers
here, call the Medicaid EDI Help Desk.
Can I send claims electronically?
All claim types - professional, dental, and institutional - can be submitted
electronically.
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Can I send claims that require attachments
electronically?
Yes. Claims that require paper attachments, such as invoices or consent forms, can be
sent electronically. The claim must contain an attachment control number. The attachment
is then mailed or faxed, along with a form identifying it as a claim attachment. Click
here  471-000-87 for the form (MC-2)
and instructions.
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What other information can I send or receive
electronically?
The electronic Remittance Advice, Claim Status, and Eligibility Inquiry transactions
are the most common. We support all the HIPAA-mandated electronic transactions for
healthcare payers.
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Do you furnish software for submitting claims
electronically?
No, we do not furnish software. Most providers use a clearinghouse to submit their
claims.
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Can you recommend a clearinghouse?
We cannot recommend any particular clearinghouse, however, for a list of clearinghouses
that currently exchange electronic data with Nebraska Medicaid, click here  EDI Trading Partners.
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What questions should I ask when searching for a
clearinghouse?
- Are you currently submitting electronic claims to Nebraska Medicaid?
- Do you submit claims directly to Medicaid or do you transmit to another party?
- How soon after you receive our claims are they transmitted?
- How will we know if our claims were successfully received?
- What if our claims encounter errors after they reach Nebraska Medicaid, how will we be
notified of this and when?
- What are the names of some other Nebraska Medicaid Providers that submit claims through
your company?
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Can I submit my claims electronically without using a
clearinghouse?
Yes, if you have the technical expertise to create the transaction in the ASC X12N
format and meet the X12 claim submission requirements.
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What is involved in the testing process?
You will work closely with the Medicaid EDI Help Desk during testing. For more
information, see EDI Testing Process and Requirements.
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How do I get started?
If you plan to use a clearinghouse, research the options. After selection, the
clearinghouse will take care of the paperwork required to add you as a trading partner.
If you plan to submit your claims directly to Nebraska Medicaid, complete the EDI Enrollment Forms and have your technical programmer
contact the Medicaid EDI Help Desk.
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