News and Updates
• Availity Training Webinars 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 8/31/10 • NPI-Only Electronic Claim Submission Edits 8/31/10 • 2010 Holiday Schedule for Electronic Transactions 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 SheetsMore...
Claim Filing
• Appeals Process information • CMS-1500 Tutorial • CMS-1500 User Guide • UB04 User Guide More...
Pharmacy
• Drug List Updates • Drug List - Therapeutic Class with Alphabetic Index • Drug List Limitations, Exclusions, and Prior Authorization Criteria • Rx Drug Prior Authorization Form • Specialty Drug List More...
Provider Library
• How to Join BCBSNM Provider Networks • Forms • Medical Policies • Provider Reference Manual and Changes More...
UM/QI/Medical Management
• Clinical Practice Guidelines • iEXCHANGE • Preauthorization • Preventive Care Guidelines for Clinicians • Preventive Care Guideline Summaries for PatientsAdult Child More...
BlueSalud
•BlueSalud •Alerts •Contacts More...
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