December 2016

Obtaining Provider Claim Summaries Online

Starting Dec. 12, 2016, independently contracted Blue Cross and Blue Shield of New Mexico (BCBSNM) providers will have access to a new report viewer application in the Availity Payer Spaces section of the Availity Web Portal. This report viewer will give Availity users the ability to view, download, save and/or print the Provider Claim Summary (PCS). 

Having access to the PCS report viewer offers Availity users the opportunity to obtain claim adjudication information for multiple patients online, in one central location.

If you are enrolled to receive the Electronic Remittance Advice (ERA) from BCBSNM, you already receive the Electronic Payment Summary (EPS), which is the human-readable version of the ERA. As of Dec. 12, 2016, you can access the report viewer application on Availity to view the PCS, which contains the same information as the EPS, but in a more user friendly format.

Providers who currently receive the paper PCS via mail are invited to consider electronic options as a more convenient alternative.

To use the PCS report viewer application, and also gain access to a variety of other online tools and resources on the Availity Web Portal, you must be an existing Availity user. If you have not registered with Availity, you can sign up today, at no cost, by visiting availity.com. For dates and times of upcoming BCBSNM Back to Basics:

‘Availity 101’ webinars, hosted by our Provider Education Consultant team, refer to the webinars page.

Stay informed! Watch for additional announcements in the News and Updates.

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. 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.