Blue Cross and Blue Shield of New Mexico Health Care Providers

This link will take you to a new site not affiliated with BCBSNM. It will open in a new window. To return to our website, simply close the new window. Refer to important information for our linking policy.

Text Size: A A A

Company InformationContact Us

Centennial Rewards
Provider Resources

Learn how to reward healthy choices for your Medicaid patients and order free reward materials.

Self-service
through Availity

Use the Availity provider portal to gain access to tools such as iExchange, Electronic Refund Management, Claim Research Tool.

Subscribe to the
Monthly Blue Review
Email Newsletter

View All

Electronic Commerce

Improve operational efficiency and turnaround time on claims by using electronic transactions for billing, payments, eligibility, and claim status.

Blue Review

Read our monthly provider newsletter to stay informed of the latest programs and initiatives that will assist you in offering the best service to our members.

Update your Information

We've simplified the process of keeping your provider information current. To ensure your file is accurate, submit your practice changes online.

COVID-19 Preparedness
Blue Review
02/17/2022 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Apr. 1, 2022 – Part 1
02/07/2022 Differential Diagnoses of Depression
02/07/2022 Closing Gaps in Care for Group Medicare Advantage Members
02/03/2022 New Laboratory Management Program to Begin On May 1, 2022
01/26/2022 It’s Time - Verify Your Directory Details
01/26/2022 Supporting Healthy Hearts
01/20/2022 Behavioral Health Cost Share Waiver for Some BCBSNM Members Begins Jan. 1, 2022
01/18/2022 Update - New Lab Policies and Laboratory Management Program Delayed
01/13/2022 2022 Annual HEDIS^® Medical Record Review Begins February 2022
01/13/2022 Delivering Quality Care: Cervical and Breast Cancer Screenings
01/13/2022 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2022 – Part 2
01/13/2022 EXL Health Is Reviewing Complex Claims
01/10/2022 Blue Cross Community Centennial^SM Prior Authorization Update for MSK Therapies (Rehab) effective March 13, 2022, and Training Webinars
01/05/2022 Reminder: Claim Editing Enhancements Coming in 2022, Register for a Training Webinar
12/30/2021 Current Procedural Terminology^® (CPT) Codes Updated for Prior Authorization
12/30/2021 Current Procedural Terminology^® (CPT) Codes Updated for Prior Authorization for Medicare programs
12/30/2021 Availity^® Tools to Support Providers in 2022
12/27/2021 New Lab Policies and Laboratory Management Program Delayed
12/23/2021 OSI Emergency Order for LTC Transfer PA
12/21/2021 Behavioral Health Cost Share Waiver for Some BCBSNM Members Begins Jan. 1, 2022
12/17/2021 Chiropractic & Mixed Therapy Benefits Contained in IVR Phone System as of Jan. 3, 2022
12/09/2021 Claim Editing Enhancements Coming April 1, 2022
12/07/2021 Patients in the Qualified Medicare Beneficiary Program Should Not Be Billed
12/07/2021 Hospitals Must Provide Medicare Outpatient Observation Notice
12/07/2021 Rural Health Clinics and Federally Qualified Health Centers May Meet Quality Measure
12/07/2021 Webinar on Avoiding Antibiotics Overuse
12/07/2021 COVID-19 Vaccine Billing for Medicare Advantage Members
12/07/2021 Current Procedural Terminology (CPT^®) Codes Updated for Prior Authorization, Jan. 1, 2022
12/06/2021 Behavioral Health Cost Share Waiver for Some BCBSNM Members Begins Jan. 1, 2022
12/06/2021 New Flexible Medicare Advantage PPO Plan
11/26/2021 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2022 – Part 1
11/24/2021 COVID-19 Vaccine Billing for Medicare Advantage Members
11/24/2021 Current Procedural Terminology (CPT^®) Codes Updated for Prior Authorization
11/24/2021 Current Procedural Terminology (CPT^®) Codes Updated for Prior Authorization for Medicare programs
11/24/2021 Single Sign-On Access to AIM Specialty Health^® via Availity^®
11/24/2021 View Withdrawn Claim Descriptions via the Availity^® Claim Status Tool
11/24/2021 Watch for a Letter on Fighting Fraud, Waste and Abuse
11/19/2021 New Provider Designations and Services Forms for Provider Onboarding Applications
10/25/2021 Claim Editing Enhancements Coming Jan. 10, 2022
10/22/2021 Catch Up on Vaccines for All Ages
10/20/2021 Continuity of Care Changes
10/20/2021 Machine-Readable Files
10/20/2021 New Information on Member ID Cards
10/20/2021 Provider Directory Information Verification
10/20/2021 Surprise Billing Provisions of No Surprises Act
10/20/2021 Initiation of Substance Use Disorder Provider Enhanced Payment Program Blue Cross Community Centennial^SM
10/20/2021 Provider Incentive Program for Weight Assessment and Counseling for Children and Adolescents - Blue Cross Community Centennial^SM
10/20/2021 2022 Telemedicine Services
10/20/2021 New Laboratory Policies Coming Jan. 1, 2022
10/20/2021 Avoiding Antibiotics for Acute Bronchitis
10/20/2021 Managing Diabetes
10/20/2021 Introducing Electronic Clinical Claim Appeal Requests via Availity^® Provider Portal for Federal Employee Program^® (FEP^®) and Blue Cross Community Centennial^SM claims
10/18/2021 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2021 – Part 2
09/15/2021 In-Home Diabetes Monitoring Tests Coming to Select Blue Cross Community Centennial^SM Members
09/08/2021 Coding Cancer and Cancer-Related Treatments
09/08/2021 Obesity and Morbid Obesity
09/08/2021 Change to Some Primary and Secondary Claims Coordination
09/08/2021 Are you using these shared decision-making aids?
09/08/2021 Coverage Replacement for Smoking Cessation Product CHANTIX^® Due to Voluntary Recall
09/08/2021 Managing Diabetes
09/03/2021 Reminder: Use AIM for Prior Authorization - Coming for Pharmacy Medical Oncology
08/17/2021 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2021 – Part 1
08/17/2021 Availity^® Claim Status Response Enhancement for Medicare Advantage Claims
08/05/2021 NM DOH Announces Second Round of Incentives for COVID-19 Vaccines
07/12/2021 Prior Authorization Update - Pharmacy Medical Oncology
07/12/2021 View Professional Provider Fee Schedule via Availity^® – Coming Soon
07/11/2021 National Drug Code (NDC) Fee Schedule Changes Effective Sept. 1, 2021
07/11/2021 Colorectal Cancer Screening for Members Age 45 to 75
06/24/2021 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July.1, 2021 – Part 2
06/08/2021 Prepayment Reviews on Inpatient DRG Claims for BlueCard members
05/28/2021 In-Home Test Kits for Colorectal Cancer Screening
05/28/2021 Free Webinar and CME on Depression
05/28/2021 Catch Up Now on Child and Adolescent Vaccinations
05/27/2021 BCBSNM Members Have New Mail Order and Specialty Pharmacies as of May 1, 2021
05/13/2021 EXL Health to Review Complex Claims July 1, 2021
05/13/2021 National Drug Code (NDC) Fee Schedule Change for Octagam (J1568)
05/13/2021 Reminder: Single Access Point for EFT and ERA Enrollments
05/12/2021 Delivering Quality Care: Treating Substance Abuse
05/10/2021 COVID-19 Vaccine Administration Reimbursement – HSD Supplement 16
05/10/2021 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2021 – Part 1
05/06/2021 Cervical Cancer Screening May Save a Life
05/06/2021 Caring for the Colon
05/05/2021 New Applied Behavior Analysis (ABA) Service Request Forms
04/15/2021 Select Medication List to be Updated June 1, 2021
04/09/2021 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April.1, 2021 – Part 2
04/09/2021 Reminder: eviCore to Manage Prior Authorization Appeals Process through April 2021 for 2020 Adverse Determinations
04/08/2021 Some Codes Removed from AIM^® Prior Authorization
03/19/2021 Updates Made to the Provider Reference Manual
03/12/2021 Single Access Point for 835 EFT and ERA Enrollments
03/01/2021 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Apr. 1, 2021, Part 1
02/16/2021 Atrial Fibrillation
02/16/2021 Diabetes Mellitus
01/05/2021 Healthcare and Related Personnel Eligible for Phase 1a Vaccinations
12/29/2020 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan.1, 2021 – Part 2
12/23/2020 Comprehensive Care Plans to be Emailed or Faxed
12/23/2020 Quality Health Standards –Prenatal and Postpartum Visits
12/22/2020 COVID-19 Vaccines and Coverage
12/17/2020 Billing Reminders for Psychological and Neuropsychological Testing
12/17/2020 Revision to Specialty Medication Administration Site of Care Policy, Effective Jan. 1, 2021
12/17/2020 Outpatient Provider Incentive Program for Behavioral Health Follow-up Visit
12/15/2020 Obtain BCBSNM Patient ID Numbers Online via Availity^® – Now Available for Government Programs
12/15/2020 View, Download and Print the BCBSNM Member's ID Card Online via the Availity^® Provider Portal
12/15/2020 Verify Multiple Patient's Eligibility and Benefits Coverage via Availity^®
12/15/2020 New Electronic Duplicate Claim Rejections for Commercial Claims Effective Nov. 14, 2020
12/15/2020 Submit Electronic Professional and Facility Claims via the Availity^® Provider Portal
12/15/2020 Patients in the Qualified Medicare Beneficiary (QMB) Program Should Not Be Billed
12/15/2020 Hospitals Must Provide Medicare Outpatient Observation Notice (MOON)
12/14/2020 Coverage for Coronary Artery Calcium Scan for Cardiovascular Disease Risk Assessment
12/11/2020 Transition of Care: Preauthorization Changes from eviCore to AIM for Some Members effective Jan. 1, 2021
12/11/2020 Providers receiving bamlanivimab for free should not bill for the product
12/10/2020 BCBSNM will update CPT^® codes for some preauthorization services effective Jan. 1, 2021
11/17/2020 New HEDIS^® Tip Sheets for Behavioral Health HEDIS Measures: APM and UOP
11/16/2020 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2021, Part 1
11/05/2020 Availity^® Provider Portal Offerings
10/29/2020 BCBSNM Moving Preauthorization Duties from eviCore to AIM Effective Jan. 1, 2021, for Some Members
10/22/2020 Continuity and Coordination of Care - Free Webinar and Continuing Education Credit for Providers
10/12/2020 Provider Finder^® Gets an Upgrade
10/12/2020 Telemedicine – Future State
10/08/2020 Updates and Reminders: Submit Predetermination of Benefits Submission via Availity^®
10/08/2020 Availity Claim Status Tool Now Available for All BCBSNM Members
09/29/2020 New national high-performance network to launch in January
09/29/2020 New HEDIS^® Tip Sheets* Behavioral Health HEDIS Measures: FUA and FUM
09/28/2020 Itemized Bills Required for BlueCard^® Facility Claims Over $100k
09/28/2020 Clinical Practice and Preventive Care Guidelines Updated for 2020-2021
09/28/2020 Childhood Immunization Rates Fall Amidst Pandemic Fears
09/18/2020 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct.1, 2020 – Part 2
09/17/2020 What You Need to Know About Substance Abuse - Free Webinar and Continuing Education Credit for Providers
09/14/2020 In-Home Diabetes Monitoring Tests Coming to Select Blue Cross Community Centennial^SM Members
09/11/2020 Verify Procedure Code Preauthorization Requirements and Submit the Request via Availity^®
09/04/2020 Census 2020
09/02/2020 Updated Behavioral Health Measures from HEDIS^® 2020-21*
08/31/2020 Telehealth Visits – Medicare Advantage
08/31/2020 Obtain BCBSNM Patient ID Number Numbers Online via Availity^®
08/27/2020 Blue Distinction^® Message via the Availity^® Eligibility and Benefits Results
08/19/2020 Physical Therapy Benefits to be Contained Within the IVR Phone System as of Sept. 8, 2020
07/31/2020 iExchange^® Will Be Deactivated on Aug. 17, 2020
07/31/2020 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2020, Part 1
07/31/2020 Depression? How Do You Know? Free Webinar and Continuing Education Credit for Providers
07/30/2020 Blue Cross Medicare Advantage Prior Authorization Updates effective Sept. 1, 2020
07/30/2020 Addition of New Prior Authorization Requirements for Blue Cross Community Centennial^SM Members
07/28/2020 Threshold Amount for Claims Review for Blue Cross Community Centennial^SM Members
07/27/2020 Submit Predetermination of Benefit Requests via the Availity^®
07/24/2020 Overpayment Recovery Process for Contracted Providers
07/24/2020 Colorectal Cancer Screening at Home
07/24/2020 Imaging Studies for Low Back Pain for FEP Members
07/24/2020 Two New Behavioral Health Measures Tip Sheets
07/22/2020 Retainer Payments for Personal Care Services Providers - Special COVID LOD #12; Community Benefit, Appendix K
07/02/2020 CMS Payment Adjustments for Medicare Providers
07/01/2020 Federal Agencies Extend Timely Filing and Appeals Deadlines
06/17/2020 New Email Address for Prior Authorization Appeals Changing Effective July 1, 2020
06/15/2020 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2020 – Part 2
06/10/2020 BCBSNM will update CPT^® codes for some preauthorization services
06/08/2020 COVID-19 Coverage Updates for Medicare Providers
05/26/2020 Calls to Electronic Commerce Services will be Redirect to Email as of June 15, 2020
05/19/2020 COVID-19 Initiatives Extended into June
05/14/2020 Extending Prior Authorization on Previously-Approved Elective Surgeries, Procedures and Therapies (Updated)
05/13/2020 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2020, Part 1
04/29/2020 Making It Easier to Access Chest CT Scans
04/29/2020 BCBSNM Making It Easier to Transfer Members to Post-Acute Care
04/24/2020 Blue Cross and Blue Shield of New Mexico Further Expands Telemedicine to All In-Network Providers
04/20/2020 CARES Act Provider Relief Summary
04/15/2020 Extending Prior Authorization on Previously-Approved Elective Surgeries, Procedures, and Therapies
04/14/2020 Alert: iExchange^® Deactivation Extended Due to COVID-19
04/10/2020 New Guidance and Recommendations for Personal Care Services Providers
04/10/2020 BCBSNM Waives Customer Cost-Sharing for COVID-19 Treatment
04/08/2020 New Mexico Human Services Department Issues Special COVID-19 Supplement #3 “Guidance for New Mexico Medicaid Providers” to MAD NMAC Program Rules
04/07/2020 New Mexico Human Services Department Issues Letter of Direction #31 – COVID-19 Guidance for Centennial Care 2.0 Managed Care Organizations Repeal & Replace LOD #30
04/02/2020 A letter to Behavioral Health Providers from HSD Director of Behavioral Health Services Division Neal Bowen
03/31/2020 Reminder: iExchange^® Deactivating on April 15, 2020 – Use the Availity^® Authorizations Tool
03/30/2020 Using Telemedicine and Telehealth in Response to COVID-19
03/27/2020 Medicare Advantage Provider Call Center Lines Experiencing Longer Hold Times
03/27/2020 Temporary Changes for In-Home Services, Community Benefits, and Nursing Facility Level of Care Determinations
03/27/2020 New Mexico Human Services Department Issues Letter of Direction #30 – COVID-19 Guidance for Centennial Care 2.0 Managed Care Organizations
03/19/2020 New Mexico Centennial Care 2.0 Letter of Direction #30 - COVID-19 Guidance for CC 2.0 MCOs
03/19/2020 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2020 – Part 2
03/17/2020 Clarification: New BCBSNM 837 Commercial Claim Validation Edits Effective April 1, 2020
03/11/2020 COVID-19 Preparedness in New Mexico
03/03/2020 New BCBSNM 837 Commercial Claim Validation Edits
03/02/2020 Three New ClaimsXten^TM Rules to be Implemented June 2020
02/27/2020 CMS Star Ratings Matter: Survey to Assess Medicare Advantage Members’ Experiences
02/26/2020 Obtain Your Provider Claim Summary (PCS) Online – PCS Mailing Discontinuation as of May 4, 2020
02/19/2020 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2020, Part 1
02/18/2020 Resolved: Electronic Payment and Remittance Delivery Delay
02/17/2020 New Authorizations Tool via Availity Provider Portal^®: Revised Launch Date of Feb. 17, 2020
02/14/2020 Electronic Payment and Remittance Delivery Delay
02/06/2020 Prior Authorization Changes for ID Prefixes BBE, BHP, BNK, BRG and BYR
01/30/2020 Implementation Delay: Authorizations via Availity^® Provider Portal
01/22/2020 Eight Steps Toward Health Equity in Hypertension
01/22/2020 Eight Steps Toward Health Equity in Diabetes
01/17/2020 Updates Made to the Medicare Advantage Section of the Blues Provider Reference Manual
01/13/2020 Survey Shows Medicaid Members Give Their Providers High Ratings
01/13/2020 Our Medicaid Quality Improvement Program
01/06/2020 Reminder: New Online Enrollment Process for 835 EFT and ERA through the Availity^® Provider Portal
12/26/2019 Introducing a New Preauthorization Submission Tool via Availity^® Provider Portal
12/19/2019 Reminder: Medicare Providers May Not Bill Participants in the Qualified Medicare Beneficiary Program
12/18/2019 2020 Holiday Schedule Reminders (for 835 and 837 transactions)
12/16/2019 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective January 1, 2020 – Part 2
12/12/2019 Medicare Advantage: Electronic Payment Summary Now Available for 835 ERA Receivers
12/12/2019 New Online Enrollment Process for 835 EFT & ERA through the Availity^® Provider Portal
11/29/2019 Medicare Advantage: Interpreting the 'PLB' Segment on the 835 Electronic Remittance Advice (ERA)
11/29/2019 New Synagis Prior Authorization Review and Billing Process: Synagis Moving From Medical Benefit to Pharmacy Benefit
11/22/2019 Addition of New Prior Authorization Requirements for New Mexico Members
11/21/2019 2020 Blue Cross Community Centennial^SM Prior Authorization Updates
11/21/2019 2020 Blue Cross Medicare Advantage^SM Preauthorization Updates
11/19/2019 Updates Made to the Blues Provider Reference Manual
11/18/2019 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective January 1, 2020
11/06/2019 Medicare Advantage: New Claim Status Tool via Availity^® Provider Portal
11/01/2019 eviCore Benefit Preauthorization Training for Advanced Imaging, Genomic Lab, Joint/Spine/Pain and Sleep Management Services
10/28/2019 Verify Preauthorization Requirements by Procedure Code via IVR Phone System
10/24/2019 Availity^® Remittance Viewer Tool Upgrade
10/24/2019 Updates Made to Blue Cross Community Centennial Attachment to the Blues Provider Reference Manual
10/22/2019 Are Utilization Management Decisions Financially Influenced?
08/20/2019 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective October 1, 2019 – Part 2
10/07/2019 New Supplement 19-09 Medicaid Billing for Long-Acting Reversible Contraception (LARC) Products in an Inpatient Setting
10/07/2019 2019 Medicaid Hospice Rate Change
10/03/2019 Cotiviti Denial Rationale and Additional Action(s) Now Available in the Claim Research Tool
10/02/2019 Updates Made to Blues Provider Reference Manual
09/30/2019 FEP Blue Focus Reminder
09/27/2019 Itemized Bills Required for BlueCard Claims Over $200k
09/25/2019 Changes to Medicare Advantage Payment Models for Skilled Nursing Facility and Home Health Care Claims
09/25/2019 Behavioral Health and Addiction TeleECHO Program
09/25/2019 Screening for Clinical Depression Initiative
09/19/2019 Blue Cross Community Centennial^SM: Opioid Diagnosis Code Required at Pharmacy
09/12/2019 HEDIS – Adult Body Mass Index Assessment
08/30/2019 IVR Phone System: Consolidated Benefit Response
08/30/2019 New and Exciting Functionality Coming to the Claim Research Tool (CRT) via Availity^® Provider Portal
08/20/2019 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective October 1, 2019
07/31/2019 Notice of Change to Preservice Appeals Process for your Medicare Patients Covered by Blue Cross and Blue Shield of New Mexico
07/23/2019 Removal of Prior Authorization Requirements for your Medicare Advantage Patients
06/19/2019 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2019
06/18/2019 Changes to Specialty Drugs Preauthorization List: Always check Preauthorization Requirements
06/11/2019 Reporting On-Demand Application Now Available for Medicare Advantage via Availity^® Provider Portal
06/06/2019 Out-of-State Provider Notification: Contact Your Local Blues Plan for Electronic Remittance Advice (835 ERA) Enrollment
05/26/2018 Electronic Visit Verification Implementation for EPSDT PCS
05/26/2018 HSD Supplement 19-06: Billing for Annual Physical Health Examinations
05/06/2019 BCBSNM Now Offers a Choice in Pharmacies for Specialty Medications
05/06/2019 Insurers Required by CMS to Conduct (HHS- RADV) Program/Initial Validation Audit IVA (2019)
04/26/2019 Living365^® “Living with Diabetes” Health Education Classes available for all Blue Cross and Blue Shield of New Mexico members
04/22/2019 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2019
04/10/2019 eviCore Preauthorization Training – MSK Services and OB Ultrasound
03/26/2018 TOC PCS Authorization FAQs, March 2019
04/10/2019 eviCore Preauthorization Training – MSK Services and OB Ultrasound
03/26/2018 TOC PCS Authorization FAQs, March 2019
03/26/2019 2019 HSD Behavioral Health Policy and Billing Manual and Supplement 19-04
03/11/2019 Change in Preferred Hepatitis C Agent for Blue Cross Community Centennial^SM Members, Effective March 1, 2019
03/05/2019 Government Programs: Verifying Claim Status in the Availity^® Provider Portal
03/05/2019 BCBSNM’s Payer Spaces Updates in Availity^® Provider Portal
02/13/2019 2019 Blue Cross Community Centennial^SM Prior Authorization Updates
02/11/2019 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2019
02/06/2019 2019 Blue Cross Community Centennial^SM Prior Authorization Updates
01/22/2019 Learn How to Leverage the Availity^® Provider Portal for Efficiencies and Cost Savings
01/17/2019 Attention: We Need Your Help to Improve Behavioral Health Care Access!
01/16/2019 Close HEDIS^® Gaps easily through the Availity^® Provider Portal
01/16/2019 Behavioral Health Forms get a Facelift
01/16/2019 2019 Annual HEDIS Medical Record Review begins February 2019
01/16/2019 New Opioid Drug Management Program for Medicare Members
01/16/2019 New Concurrent Opioid and Benzodiazepine Prior Authorization Program for Blue Cross Community Centennial^SM Members
01/08/2019 Important Update: Preauthorizations by Other MCOs for Members Who Transitioned to Blue Cross Community Centennial^SM on Jan. 1, 2019
01/08/2019 Hold Times and Yearly Eligibility Changes
01/07/2019 Automated Phone System Change for Behavioral Health Services
12/20/2018 Verifying Procedure Code Preauthorization Requirements Online
12/19/2018 Annual Reminder: Medicare Outpatient Observation Notice (MOON) Required
12/17/2018 Federal Judge Rules Individual Mandate Unconstitutional. Nothing Changes for Our Members.
12/12/2018 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2018
12/12/2018 Notification of Annual Benefit Updates
12/05/2018 2019 Benefit Preauthorization Changes: eviCore Training, Reminders and Resources
12/03/2018 Responding to Electronic Quality and Risk Adjustment Medical Record Requests via Availity^TM Provider Portal
11/28/2018 Referring Diabetic Patients for Annual Eye Exam – Federal Employee Program
11/28/2018 Importance of Hospital Discharge Summaries – Federal Employee Program
11/28/2018 Documentation During Pregnancy – Federal Employee Program
11/28/2018 Federal Employee Program Benefits Changes for Infliximab Effective Jan. 1, 2019.
11/22/2018 Importance of Adult Body Mass Index (BMI) Measurement and Management
11/22/2018 Government Programs: Interpreting the ‘PLB’ Segment on the 835 Electronic Remittance Advice (ERA)
11/22/2018 Required Cultural Competency Training Available Online
11/21/2018 BCBSNM Preauthorization Changes Beginning Jan. 1, 2019
11/21/2018 2019 Blue Cross Medicare Advantage^SM Preauthorization Updates
11/21/2018 2019 Blue Cross Community Centennial^SM Prior Authorization Updates
11/21/2018 Proper Claim Filing Procedures for Blue Cross Community Centennial^SM Behavioral Health Providers
11/21/2018 Specialty Pharmacy Infusion Site of Care: Preauthorization Requirements
11/20/2018 Federal Employee Program^® (FEP^®) Introduces FEP Blue Focus
11/15/2018 New Electronic Option Available for New Mexico Medicaid Providers: GuidingCare^®
11/16/2018 Preventive Care Guidelines for Providers Updated for 2018-2019
11/14/2018 CMS-Required Training for Dual-Special Needs Plans
11/13/2018 Prepping for the 2018-2019 Flu Season
11/13/2018 ‘Annual Visit’ Campaign Continues, Proper Coding is Crucial
11/13/2018 New Application Process for Joining Our Networks
11/13/2018 Screening and Management for Clinical Depression
11/12/2018 New ‘Pre-Authorization Info’ Tab on the Availity^® Provider Portal Eligibility and Benefits Results
11/01/2018 Changes to Home-Based Sleep Study Prior Approval Requirements for Federal Employee Program Basic Option Members, Effective Sept. 4, 2018
10/29/2018 2018 Blue Cross Community Centennial^SM Prior Authorization Updates
10/23/2018 Preferred Site of Care Processing Issue for Blue Community HMO^SM Member Claims
10/23/2018 Screening and Management for Clinical Depression
10/23/2018 ‘Annual Visit’ Campaign Continues, Proper Coding is Crucial
10/23/2018 Prepping for the 2018-2019 Flu Season
10/22/2018 Medicare Advantage: Preauthorization Change for Psychological and Neuropsychological Testing
10/08/2018 2019 Blue Cross Community Centennial^SM Provider Training
09/24/2018 Amniotic Membrane and Amniotic Fluid Products May be Considered Experimental, Investigational and/or Unproven
09/19/2018 Important Reminder: Claims Will Deny if Rendering NPIs are Not on File with BCBSNM
09/19/2018 New Application Process for Joining Our Networks
09/19/2018 New Lactation Consultation Designation Added to Demographic Change Form
09/19/2018 Government Programs: Improving Claim-Related Processes and EDI Transactions
09/19/2018 Working Together to Improve the Member-Provider Experience: Member Concerns About Genetic Testing Costs and Coverage
09/17/2018 Government Programs: Improving Claim-Related Processes and EDI Transactions
09/13/2018 eviCore Hold Times May Increase Due to Hurricane Florence
08/27/2018 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2018
08/14/2018 2019 Blue Cross Centennial Care^SM Contracts
08/07/2018 'Annual Visit' Campaign Leads to Importance of Proper Coding
08/06/2018 Online Magazine Spotlight: Three New Articles
08/04/2018 New Mexico Medicaid Fee Schedule for Behavioral Health Providers Effective July 1, 2018
08/01/2018 Appropriate Use of Opioids Program Launched August 1, 2018
07/27/2018 Voluntary Recall of Medications Containing the Valsartan Active Ingredient
07/06/2018 High-dose Influenza Vaccine Guidelines
07/06/2018 Prohibition on Billing Dually-Eligible Members Enrolled in the Qualified Medicare Beneficiary Program
07/06/2018 Working together to improve the member-provider experience: Member Concerns about “Up front” Payments