Claims and Eligibility
Blue Cross and Blue Shield of New Mexico (BCBSNM) has been working closely with doctors to improve the health care system and meet customers' health care delivery needs for more than 70 years. We aim to consistently provide the quality technology, services and information that can help improve all transactions and communication with health care professionals.
BlueCard® Program Claim Filing
The BlueCard Program links participating health care providers and the independent Blue Cross and Blue Shield (BCBS) Plans across the country and around the world through a single electronic network for claims processing and reimbursement. Learn more about BlueCard.
Electronic Commerce Services
Say goodbye to paper shuffle and say hello to increased operational efficiencies and improved turnaround on payments. BCBSNM is your source for e commerce transactions. Learn more about Electronic Commerce Services.
Interactive Voice Response (IVR) System
Enjoy the Convenience of Self-Service Inquiry Resolution. Our IVR system uses voice recognition technology so that you can obtain automated information on member eligibility, benefits or claims status. All you need to do is speak your request – the IVR does the rest. Learn more about IVR.
Medicare Advantage Private Fee-for-Service
If you provide care to a Medicare Advantage Private Fee-for-Service (PFFS) member from an out-of-area BCBS Plan, you may use the Web Finder Tool.
Preauthorization
Information about the preauthorization process at BCBSNM. Learn More
Submitting Claims
At BCBSNM, we are committed to fast and efficient claim processing. In order to prevent delays, billing errors and other potential setbacks, we’ve put together tips and information to help you manage and submit claims.
