We are your source for electronic commerce transactions that will work today and tomorrow. These transactions can be billing, payments, eligibility verification, claim status, or other transactions related to the business operation of a healthcare organization. Using such services enables organizations to say goodbye to paper shuffle and say hello to increased operation efficiencies and improved turnaround on payments.
Online Transaction Schedule
Effective Jan. 1, 2013, online Eligibility and Benefits (270/271) and Claims Status (276/277) transactions may be conducted almost continuously, with the exception of Sunday, 7:00 p.m. to 11:00 p.m. MT*.
*Non-routine downtime will be communicated via designated third party independent vendor websites at least one week in advance.
Notification of system enhancements, upgrades, new functionality, and any electronic data interchange transaction issues that may affect claims processing, payment, or remittance delivery. See all Alerts.
With Availity, health care providers can conduct transactions at no charge. It’s a comprehensive claims clearinghouse solution that supports more than 1,000 payers. Learn more about Availity.
With EDI, health care providers can save time, money and delays in claims processing. View, track, and monitor claim status reports electronically. Learn more about EDI Transactions.
EFT is a secure method of claims payment. Blue Cross and Blue Shield of New Mexico electronically transfers funds directly into the bank account of your choice for added security and prompt payments. Learn more about EFT and ERA.
Discover helpful tips on how online administrative transactions can help streamline your workflow by providing fast and secure access to member information. Learn more about online transactions.