Our most frequently requested forms are available in Adobe Acrobat PDF format. Just click on the appropriate form, print the form, fill it out, and mail it in. You will need the Adobe Acrobat Reader to view the following forms; this can be downloaded free of charge at Adobe's site.
- Application for Temporary Individual Coverage (PDF)
Note: If you have questions regarding this form or about our plans for individuals, please call BCBSNM at 1-866-445-1396. - Automatic Payment Form (PDF)
- BCBSNM Standard Claim Form (PDF)
- Standard Authorization Form and other HIPAA Privacy Forms
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