Blue Cross and Blue Shield of New Mexico

April 2018 

Quickly Manage and Respond to Risk Gaps through the Availity Web Portal

Blue Cross and Blue Shield of New Mexico (BCBSNM) is now participating in Claim Encounter Reconciliation Application (CERA) through the AvailityTM web portal. The CERA application allows providers to electronically respond to requests for information related to potential risk adjustment gaps for BCBSNM members. This new, easy-to-navigate feature:

  • Lessens the administrative burden associated with mailing or faxing medical records
  • Reduces delays and frustrations associated with paper submissions
  • Lessens in-person visits to retrieve medical records
What you need to do as an administrator to get started:
  1. Log in to the Availity Web portal
  2. Select My Providers | Enrollments Centers and then select Claim Encounter Reconciliation Application (CERA) Setup
  3. Complete the three-step wizard
Free training is available, once you log in to Availity:

If you need assistance, please contact Availity Client Services at 800-282-4548.
Availity is a trademark of Availity, LLC, 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 provided by third party vendors such as Availity. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly.

 

 

 

bcbsnm.com/provider

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

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