Downloadable Forms for Blue TransitionsSM
Our most frequently requested forms are available as PDF files. Just click on the appropriate form, print the form, fill it out, and mail it in. If you do not have Adobe® Reader®, download it free of charge at Adobe's site .
- Application for Temporary Individual Coverage
Note: If you have questions regarding this form or about our plans for individuals, please call BCBSNM at 1-866-445-1396.
- Automatic Premium Payment Authorization Agreement
- BCBSNM Standard Claim Form
- Standard Authorization Form and other HIPAA Privacy Forms
Learn More About Blue Transitions