Blue Cross and Blue Shield of New Mexico

October 2016

Online Portal Applications Help Expedite Administrative Workflow

Does your office or organization ever ask, “Is this patient eligible for Blue Cross and Blue Shield New Mexico (BCBSNM) benefits?”, “Does this service require preauthorization?”, or ”How did my claim process?” These questions and many more can be answered with a few key strokes, in a matter of seconds using an online portal application, such as Availity.

Electronic options deliver real-time resolutions, avoiding disapproved services, and optimizing your payment. You can confirm patient coverage, preauthorize services, and post payments with a few simple clicks.
Not only can you conduct HIPAA-compliant transactions online using Availity, providers can also:

  • Submit pre- and post-exam transactions
  • Conduct pre-service requests
  • Complete post-service reconciliation
  • Update provider demographics
  • Enroll for electronic remittance and fund transfer

If you have not registered and would like to learn more about Availity and our online referral and preauthorization tool iExchange®, register for a Back to Basics: Availity 101 Webinar, under the Education and Reference Center at bcbsnm.com/provider.
Additionally, for more advanced training of online tools, email a Provider Education Consultant at PECS@bcbsnm.com.

Availity is a trademark of Availity, L.L.C., a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSNM. Aerial, iExchange and Medecision® are trademarks of Medecision, Inc., a separate company that offers collaborative health care management solutions for payers and providers. BCBSNM makes no endorsement, representations or warranties regarding any products or services offered by third party vendors such as Availity. If you have any questions about the products or services offered by such vendors, you should contact the vendor(s) directly.


 


Blue Review • October 2016 www.bcbsnm.com

A Division of Health Care Service Corporation, a Mutual Legal Reserve Company,
an Independent Licensee of the Blue Cross and Blue Shield Association.


P.O.Box 27630, Albuquerque, NM 87125-7630