After submitting a claim, you can check the status online. In doing so, you can verify if your claim has been received, pended or finalized. Additionally, you can verify the descriptions for any claim denials.
You or your billing agent can obtain real-time results by checking claim status through the AvailityTMClaim Research Tool or your preferred vendor. The Claim Research Tool provides the equivalent of an Explanation of Benefits (EOB), including line item breakdowns and detailed denial descriptions. All results are printable and can be used as a duplicate EOB for another insurance carrier when requested.
Note: If your claim did not process the way you anticipated, it is important that you do not submit a duplicate claim for the same patient. Duplicate claims typically result in additional denials.
Adjust a Claim via Telephone
If you have additional questions or need to request a claim adjustment, a document control number (claim number) is required when calling via our Interactive Voice Response (IVR) automated phone system to speak with an agent.
To access our IVR system, call 888-349-3706. The system is available Monday through Friday, 5 a.m. to 10:30 p.m., MT, and Saturday, 5 a.m. to 5 p.m., MT. For additional details, refer to the Claims Caller Guide.
Email our Provider Education Consultants. Be sure to include your name, direct contact information, tax ID or billing NPI.
Availity is a trademark of Availity, L.L.C., a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSNM. BCBSNM makes no endorsement, representations or warranties regarding any products or services offered by third party vendors such as Availity. If you have any questions about the products or services offered by such vendors, you should contact the vendor(s) directly.