News and Updates
• Attestation on NM Employee Health Coverage for Medicaid Participants 01/07/09 • CDC Advisory – Influenza A (H1N1) 01/06/09 • Availity Provider Training Webinars – January 2009 12/23/08 • BCBSNM Significant Edits Alert – Claims & Reimbursement 12/17/08
Electronic Commerce
•Electronic Commerce Alerts •Electronic Transactions •EDI Format Specifications •EFT/ERA FAQs •EFT/ERA Forms •Availity LLC •HealthXNet •HIPAA
Claim Filing
• CMS-1500 Tutorial • A Guide for Completing the CMS-1500 Form • UB04 User Guide • Timely Claim Filing guidelines • BlueCard Claim Filing instructions • Appeals Process information
Pharmacy
• Drug List - Alphabetic • Drug List - Therapeutic Class • Drug List Limitations, Exclusions, and Prior Authorization Criteria • New Mexico Comparative Formulary • Specialty Pharmacy Flyer
Provider Network
• Provider Finder • Network Overview
Provider Tools
• Fraud Awareness Tutorial • Obesity Management Tool Kit Web Site • Hospital Comparison Tool
Provider Library
• Provider Reference Manual • Provider Reference Manual Changes • Medical Policies • Draft Medical Policies • Newsletter (Blue Review) • Forms • NPI • Interactive Voice Response (IVR) System •FAQs •Become a BCBSNM Provider
UM/QI/Medical Management
• Preventive Health Guidelines: Adult, Children, and Prenatal • Clinical Practice Guidelines: Asthma, Diabetes, Hypertension, Depression • Blue Care Connection® Disease Management Programs • Diabetes Guidelines and Reference Materials • Prior Authorization/Approval • Case Management Services
BlueSalud
•BlueSalud •Contacts •Claims •Preauth Requirements •Resources
Medicaid Utilization Review
• About Medicaid UR • Training • Review Types • Forms • FAQs • Contact Medicaid UR
Blue Medicare PPO
• Contacts • Overview • Alerts • Claims • Preauth Requirements • Provider Resources
Contact Us
• BCBSNM Contact Information for Providers
