June 2017  

BCBSNM Website

It’s important for you to stay informed about news that could affect your practice. Blue Cross and Blue Shield of New Mexico (BCBSNM) offers many ways to stay informed. When you visit our website, bcbsnm.com/provider, and sign up to receive email updates and our provider newsletter, Blue Review, you get better access to timely information on topics such as:

• Claims and billing
• Federal and State mandates
• HSD registration requirements
• Medical policies
• Utilization & Care Management Programs
• Educational webinars
• Provider Reference Manual updates
• Clinical Practice Guidelines – ADHD, Antibiotic Use in Pediatric URI, Asthma, Cardiovascular Disease, Diabetes, and Hypertension
• Pharmaceutical restrictions/preferences
• Preventive care guidelines
• HEDIS and CAHPS results
• Member rights and responsibilities
• Provider satisfaction survey results
• Quality improvement program
• Disease/Condition Management Programs – Asthma, Diabetes, CAD, COPD
• How to obtain clinical criteria
• How to access Utilization Management (UM) staff
• Our affirmative statement about incentives
• TDD/TTY services for members
• Language assistance for members to discuss UM issues
• Credentialing provider appeal rights

Signing up is easy. Go to bcbsnm.com/provider, select Update Your Information, complete the form, and click Submit.

We guard your privacy. BCBSNM treats your email address as confidential. We never sell or give your email address(es) to any third party without your permission.

Don’t have email? If you do not have an email address, please call 1-800-567-8540 or (505) 837-8800. We can mail paper copies of Blue Review to providers.

The Blue Review is posted online after the email distribution date—go to bcbsnm.com/provider, then select Blue Review.

Stay current with BCBSNM provider news and updates. Visit bcbsnm.com/provider regularly—look under Education and Reference/News and Updates.

We want your feedback on Blue Review! Have suggestions for future articles? Drop us a line anytime: NM_Blue_Review_Editor@bcbsnm.com.