Provider

Welcome, Providers

News and Updates

Availity Training Webinars Adobe Acrobat PDF 9/1/10
See a Live Demonstration of the Electronic Refund Management Tool 9/1/10
Electronic Options to Help Increase Administrative Efficiencies and Reduce Paper Adobe Acrobat PDF 8/31/10
NPI-Only Electronic Claim Submission Edits Adobe Acrobat PDF 8/31/10
2010 Holiday Schedule for Electronic Transactions Adobe Acrobat PDF 8/16/10
Register Now: Fully Funded vs. Self Funded Groups Training Webinar 8/4/10

Electronic Commerce

Overview
Advantages
Alerts
Availity
Online Transaction Tip Sheets

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Claim Filing

Appeals Process information Adobe Acrobat PDF
CMS-1500 Tutorial
CMS-1500 User Guide Adobe Acrobat PDF
UB04 User Guide Adobe Acrobat PDF

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Pharmacy

Drug List Updates
Drug List - Therapeutic Class with Alphabetic Index Adobe Acrobat PDF
Drug List Limitations, Exclusions, and Prior Authorization Criteria Adobe Acrobat PDF
Rx Drug Prior Authorization Form Adobe Acrobat PDF
Specialty Drug List Adobe Acrobat PDF

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Provider Library

How to Join BCBSNM Provider Networks
Forms
Medical Policies
Provider Reference Manual and Changes Adobe Acrobat PDF 

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UM/QI/Medical Management

Clinical Practice Guidelines Adobe Acrobat PDF
iEXCHANGE
Preauthorization
Preventive Care Guidelines for Clinicians Adobe Acrobat PDF
• Preventive Care Guideline Summaries for Patients
Adult Adobe Acrobat PDF Child Adobe Acrobat PDF

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BlueSalud

BlueSalud
Alerts
Contacts Adobe Acrobat PDF

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Blue Medicare PPO

Provider Network

How to Join BCBSNM Provider Networks
Provider Finder
Network Overview

Provider Tools

Care Comparison® Tool
Be Smart. Be Well. – a Wellness Web Site
Clear Claim Connection
Electronic Refund Management
Fraud Awareness Tutorial 

Contact Us

BCBSNM Contact Information for Providers