Downloadable Forms for Blue Transitions^SM

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

Overview
Benefit Information
FAQs

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