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Health Care Providers

Submit a Paper Claim Electronically

Please complete the form fields on the next page and follow the instructions to upload your claim.

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Check Eligibility & Benefits

Please complete the form fields on the next page and select your requested information from the Drop-Down Menu.

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Check The Status of a Claim

Please complete the form fields on the next page to request the status of a claim.

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Request a Pre-Determination of Benefits

Please complete the form fields on the next page and follow the instructions to upload documentation you wish to be considered.

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Submit Documentation Requested By The Plan

Please complete the form fields on the next page and follow the instructions to upload your documentation.

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Need more information?

To request additional information about any of the TPA services that we offer, please complete the short form below and a NEBA expert will contact you promptly.

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