Nebraska
Medicaid Program
Electronic Data Interchange (EDI)
EDI Enrollment
Three forms are required to exchange data electronically with Nebraska Medicaid.
NEW TRADING PARTNERS:
Complete and mail the original, signed copy of the Trading Partner Agreement to:
Department of Health and Human Services
ATTN: Medicaid EDI Help Desk
P.O. Box 95026
Lincoln, NE 68509-5026
Fax: 402-742-2353
Mail or fax (402-742-2353) the Trading Partner Profile and Trading Partner
Authorization forms after completion.
CURRENT TRADING PARTNERS
If you are an enrolled trading partner, but would like to add a new
transaction, complete a new Nebraska Medicaid Trading Partner Authorization. Fax
(402-742-2353) or mail the completed form to the address listed above. Contact the EDI
Help Desk to begin EDI Testing.
To begin or discontinue submitting transactions for a provider, complete a
Nebraska Medicaid Trading Partner Authorization.
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