February 2018
In this month’s Blue Review: Claim Research Tool, Hypertension Guidelines, and more... Please share this newsletter with others in your group or practice.
AvailityTM Claim Research Tool Offers Enhanced Claim Status Results
One of the most convenient, efficient and secure method of requesting detailed claim status from BCBSNM is by using an online option such as the Availity Claim Research Tool (CRT)*. Read more Online Magazine Spotlight: The Persistent Threat of Vaccine-Preventable Diseases
Public health experts are tracking resurgent viruses and bacteria, underscoring the importance of immunization. Read more Electronic Commerce Services – Hours of Operation Update
Beginning March 5, 2018, the Electronic Commerce Service Center hours of operation will change. Read more Blue Cross Community CentennialSM (Medicaid) BCBSNM Awarded Centennial Care 2.0 Contract
We are pleased to announce that the New Mexico Human Services Department (HSD) has awarded BCBSNM the Centennial Care 2.0 contract. Read more Hypertension: Resources for Providers and Members
BCBSNM has adopted clinical practice guidelines for the management of hypertension established by the JNC 8, and offers group and one-on-one education about hypertension for members. Read more Not yet contracted?
Providers who are participating in commercial BCBSNM products are not automatically participating providers in Blue Cross Community Centennial. If you are interested in becoming a Blue Cross Community Centennial provider, please call 505-837-8800 or 1-800-567-8540. Reminder: Update your Enrollment Information
Due to Centennial Care requirements, all enrollment information (changes to demographics, licensure or certification, provider status, etc.) must be updated on the NM Medicaid Provider Web Portal. Such services are funded in part with the State of New Mexico. Provider Resources
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 via our website, bcbsnm.com/provider, and our provider newsletter, Blue Review. Read more Medical Policy Updates
Approved new or revised Medical Policies and their effective dates are usually posted on our website the first and fifteenth of each month. These policies may impact your reimbursement and your patients’ benefits. These policies are located under the Standards & Requirements tab at bcbsnm.com/provider.
Claims inquiries?
Our Provider Service Unit (PSU) handles all provider inquiries about claims status, eligibility, benefits, and claims processing for BCBSNM members. Call 888-349-3706 For out-of-area claims inquiries, please call the BCBSNM BlueCard PSU at 800-222-7992.
Network Services Contacts and Related Service Areas
Network Services Regional Map Do we have your correct information?
Maintaining up-to-date contact and practice information helps to ensure that you are receiving critical communications and efficient reimbursement processes. Please complete our quick and easy online form for any changes to contact or practice information. Member Rights and Responsibilities
BCBSNM policies help address the issues of members participating in decision making regarding their treatment; confidentiality of information; treatment of members with dignity, courtesy and a respect for privacy; and members’ responsibilities in the practitioner-patient relationship and the health care delivery process. Read more You can find Blue Review online!
We want your feedback on Blue Review! Have suggestions for future articles? Drop us a line anytime: NM_Blue_Review_Editor@bcbsnm.com. | 