Coverage profile
Work Nebraska Medicaid 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.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Nebraska Medicaid.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Nebraska Medicaid.
Other aliases
Also known as
- 10966
- 1520I
- MCDNE
- NEMCD
- SKNE0
- Medicaid Nebraska
- Nebraska Department of Health and Human Services
2027 maternity billing research
When does Nebraska Medicaid change OB/GYN billing?
The stored quotes say billing is delayed until January 2027 and until after the delivery occurs, and they name 99202-99499 and the TH modifier. They do not state which cohort those codes apply to.
- Transition start
- Not stated in the approved quotes
- Billing start
- Not stated as a full calendar rule in the stored quotes
- Published
- Not stated in source
- Current As Of
- October 2026
Scope: Nebraska Medicaid managed-care advisory. Named MCO adoption is not in the stored quotes.
Health Plan Advisory 26-12. Verify the payer source before claim submission.
Frequently asked questions
Nebraska Medicaid payer FAQs
How do I check claim status with Nebraska Medicaid?
Providers check Nebraska Medicaid via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
What is the payer ID for Nebraska Medicaid?
The primary payer ID for Nebraska Medicaid is SKNE0. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for Nebraska Medicaid?
The 837P and 837I payer ID for Nebraska Medicaid is SKNE0 via Stedi.
What is the 835 payer ID for Nebraska Medicaid?
The 835 payer ID for Nebraska Medicaid is SKNE0 via Stedi.
What is the 270 payer ID for Nebraska Medicaid?
The 270 payer IDs for Nebraska Medicaid are SKNE0 via Stedi and SKNE0 via Availity.
What is the 276 payer ID for Nebraska Medicaid?
The 276 payer ID for Nebraska Medicaid is SKNE0 via Stedi.
What state does Nebraska Medicaid operate in?
Nebraska Medicaid operates in NE.
Routing reference
Nebraska Medicaid 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.
| Payer name | Nebraska MedicaidSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | NESource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | SKNE0Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | SKNE0Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | SKNE0Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | SKNE0Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | SKNE0Enrollment requiredSource: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | SKNE0Enrollment 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: Nebraska Medicaid. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: MEDICAID NEBRASKA. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity 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
Nebraska Medicaid 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.
- Payer phone
- (402) 471-9128NEBRASKA MEDICAID
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(800) 282-2881 | PharmacyBenefit context: Active - Full Risk Capitation |
| Vision (Optometry), Mental Health, Urgent Care, Medical Care, Health Benefit Plan Coverage, Chiropractic, Dental Care, Hospital, Hospital - Inpatient, Hospital - Outpatient, Emergency Services, Pharmacy, Professional (Physician) Visit - Office |
| phone(800) 641-1902 | PharmacyBenefit context: Active - Full Risk Capitation |
| Vision (Optometry), Mental Health, Urgent Care, Medical Care, Health Benefit Plan Coverage, Chiropractic, Dental Care, Hospital, Hospital - Inpatient, Hospital - Outpatient, Emergency Services, Pharmacy, Professional (Physician) Visit - Office |
| phone(844) 385-2192 | PharmacyBenefit context: Active - Full Risk Capitation |
| Vision (Optometry), Mental Health, Urgent Care, Medical Care, Health Benefit Plan Coverage, Chiropractic, Dental Care, Hospital, Hospital - Inpatient, Hospital - Outpatient, Emergency Services, Pharmacy, Professional (Physician) Visit - Office |
| phone(844) 782-2678 | PharmacyBenefit context: Active - Full Risk Capitation |
| Vision (Optometry), Mental Health, Urgent Care, Medical Care, Health Benefit Plan Coverage, Chiropractic, Dental Care, Hospital, Hospital - Inpatient, Hospital - Outpatient, Emergency Services, Pharmacy, Professional (Physician) Visit - Office |
| phone(855) 619-9396 | PharmacyBenefit context: Active - Full Risk Capitation |
| Vision (Optometry), Mental Health, Urgent Care, Medical Care, Health Benefit Plan Coverage, Chiropractic, Dental Care, Hospital, Hospital - Inpatient, Hospital - Outpatient, Emergency Services, Pharmacy, Professional (Physician) Visit - Office |
| phone(877) 231-0131 | PharmacyBenefit context: Active - Full Risk Capitation |
| Vision (Optometry), Mental Health, Urgent Care, Medical Care, Health Benefit Plan Coverage, Chiropractic, Dental Care, Hospital, Hospital - Inpatient, Hospital - Outpatient, Emergency Services, Pharmacy, Professional (Physician) Visit - Office |
| phone(402) 471-9128 |
| ||
| phone(877) 255-3092 |
|
Phone and fax numbers sourced directly from the payer response