Commercial Business
Claims – Medical or Dental
Provider Service Unit – 1-888-349-3706
Electronic Claims Filing
- Availity*– 1-800-282-4548
- EDI – 1-800-746-4614
Eligibility and Benefits
- Availity*
- Interactive Voice Response (IVR) – 1-888-349-3706
- HealthXnet*
Contracts, Contact Information Update, NPI Questions/Issues
Network Management
- 1-800-567-8540 or 505-837-8800
- Fax 1-866-290-7718 or 505-816-2688
- Network Regions and Network Contact List by Region
Preauthorizations, Case Management, Disease Management
- Health Services – 1-800-325-8334 or 505-291-3585
- Prior Authorizations – 1-800-325-8334, Option 1 or 505-291-3585
- Utilization Management – 1-800-325-8334, Option 3 or 505-291-3585
- Case Management – 1-800-325-8334, Option 2 or 505-291-3585
- Disease Management:
- Triage Nurse Coordinator – 1-866-252-8106 or 505-816-2063
- Nurse Care Advisor – 1-866-874-0912
- Email Disease Management
Government Programs
Provider Education
- Education Workshops or call 903-923-2770
*We do our best to ensure that the information on the Web sites shown above is useful, but can't be responsible for the content of those sites or any information you may take from them (please read our legal disclaimer). When you click on a site link above, it will open in a new window so that you can explore that site without having to leave here. When you are through visiting the other site, you can close that window and return to the BCBSNM site.
