Nebraska: Start Here
Beginner guide for Nebraska—HealthCare.gov Marketplace, NDOI/IRO external review, LB 77 PA & grievance deadlines.
Read guideState playbook
Nebraska
State insurers, legislation, and appeal resources for patients and advocates in Nebraska.
4 guides
Nebraska Prior Authorization Law
LB 77 (§§ 44-5433–5444)—7-day/72-hour PA, deemed approved, uniform forms, physician review, no AI-only denials.
Read guideNebraska Health Insurance Appeals and Grievances
Grievance within 180 days—15 working-day decision, 72-hour expedited, path to NDOI external review.
Read guideNebraska External Review (NDOI / IRO)
Binding on carrier—4-month filing with NDOI, 45-day standard, 72-hour expedited, §§ 44-1301–44-1318.
Read guidePrior auth & internal appeals
Match the plan on the member ID card. Use the denial letter for where to file appeals.
- Blue Cross Blue Shield of Nebraska
- Medica
- UnitedHealthcare
- Oscar Health
- Ambetter Health
- HealthCare.gov (Nebraska Marketplace)
- Heritage Health (Medicaid)
External appeals
After internal appeal, for eligible Nebraska fully insured plans only.
- NDOI — external review
- Medicaid — state fair hearing