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Check eligibility on Medicare NE Part B. Payer ID SMNE0

Medicare NE Part B

Medicare Nebraska Part B logo
Primary payer ID
Compare transaction IDs ↓
Last successful claim statusNo successful response observedObserved across Substrate's claim-status network.
Claim statusCurrently not answeringEligibilityAvailableEDI 270/271

Coverage profile

Work Medicare Nebraska Part B across every published route

Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicare Nebraska Part B.

Available

Other aliases

Also known as

  • 05402
  • JSMNE0
  • NEMCR
  • SMNE0
  • Medicare Nebraska Part B (J5 WPS)
  • Wisconsin Physicians Service (WPS) - Nebraska
  • NEMEDICAREPB

2027 maternity billing research

When does Medicare Nebraska Part B change OB/GYN billing?

Federal proposal—not final

For CY 2027, CMS proposes revised maternity CPT work RVUs and seeks comment on creating 15 alternative HCPCS G-codes that would preserve the previous MMM global structure for Medicare PFS payment instead of adopting the new CPT codes. These are proposed alternatives, not finalized billing instructions.

Transition start
CY 2027 proposal; operational transition date not established
Billing start
Not specified in supplied text
Published
2026-07-16
Current As Of
August 2026

Scope: Federal Medicare Part B/PFS maternity medical services only; not dental-product guidance or Nebraska-specific MAC implementation instructions.

CY 2027 Physician Fee Schedule proposed rule. Verify the payer source before claim submission.

Frequently asked questions

Medicare Nebraska Part B payer FAQs

What is the payer ID for Medicare Nebraska Part B?

The primary payer ID for Medicare Nebraska Part B is SMNE0. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What is the 837P payer ID for Medicare Nebraska Part B?

The 837P payer ID for Medicare Nebraska Part B is SMNE0 via Stedi.

What is the 835 payer ID for Medicare Nebraska Part B?

The 835 payer ID for Medicare Nebraska Part B is SMNE0 via Stedi.

What is the 270 payer ID for Medicare Nebraska Part B?

The 270 payer ID for Medicare Nebraska Part B is SMNE0 via Stedi.

What state does Medicare Nebraska Part B operate in?

Medicare Nebraska Part B operates in NE.

Routing reference

Medicare Nebraska Part B payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

Medicare Nebraska Part B payer name, operating states, and transaction-specific payer IDs
Payer nameMedicare Nebraska Part BSource: Substrate payer directory · data last changed
Operating statesNESource: Substrate payer directory · data last changed
837P professional claims payer IDStediSMNE0Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
835 ERA payer IDStediSMNE0Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDStediSMNE0Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID

Routing sources and verification

  • Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
  • Stedi payer catalogMatched by payer ID; matched record: Medicare Nebraska Part B. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗

Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.

Payer contact directory

Medicare Nebraska Part B phone and fax numbers

Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.

Eligibility / benefits phone
(800) 338-6833DEVOTED HEALTH INSURANCE COMPANY OF NEBRASKA
Medicare Nebraska Part B payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
phone(800) 338-6833Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor
  • DEVOTED HEALTH INSURANCE COMPANY OF NEBRASKA
Health Benefit Plan Coverage, Pharmacy
phone(800) 448-6262Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor
  • CHA HMO, INC.
  • HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY
  • HUMANA INSURANCE COMPANY
Health Benefit Plan Coverage, Pharmacy
phone(800) 643-4845Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor
  • UNITEDHEALTHCARE OF THE MIDLANDS, INC.
Health Benefit Plan Coverage, Pharmacy
phone(833) 570-6670Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor
  • AETNA HEALTH INC. (PA)
Health Benefit Plan Coverage, Pharmacy
phone(866) 296-8731Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor
  • NEBRASKA TOTAL CARE, INC.
Health Benefit Plan Coverage, Pharmacy
phone(423) 954-6977PharmacyBenefit context: Other or Additional Payor
  • MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY
Pharmacy
phone(866) 235-5660PharmacyBenefit context: Other or Additional Payor
  • SILVERSCRIPT INSURANCE COMPANY
Pharmacy
phone(866) 460-8854PharmacyBenefit context: Other or Additional Payor
  • UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY
Pharmacy
phone(888) 888-9355PharmacyBenefit context: Other or Additional Payor
  • WELLCARE PRESCRIPTION INSURANCE, INC.
Pharmacy

Phone and fax numbers sourced directly from the payer response

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.