Provider

Welcome, Providers

News and Updates

Availity Training Webinars – November 2009 Adobe Acrobat PDF 11/10/09
New Administration of Maternity Program Adobe Acrobat PDF 11/7/09
Downtime Alert for RediLink Production Systems Adobe Acrobat PDF 11/7/09
PCSs Generated on All Adjustments Adobe Acrobat PDF 10/28/09
ClaimCheck® Upgrade Adobe Acrobat PDF 10/27/09
Transition Reminders – PCS to EPS Adobe Acrobat PDF 10/26/09
Blue Medicare PPO Provider Portal Adobe Acrobat PDF 10/23/09
Free Seasonal Flu Shot Clinics Adobe Acrobat PDF 10/21/09

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

Provider Reference Manual and Changes Adobe Acrobat PDF
Medical Policies
Forms
Become a BCBSNM Provider Adobe Acrobat PDF

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UM/QI/Medical Management

• Preventive Care Guidelines: Adult Adobe Acrobat PDF Child Adobe Acrobat PDF
Clinical Practice Guidelines Adobe Acrobat PDF
Preauthorization

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BlueSalud

BlueSalud
Alerts
Contacts Adobe Acrobat PDF

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Blue Medicare PPO

Contacts
Overview
Alerts

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Provider Network

Provider Finder
Network Overview

Provider Tools

Be Smart. Be Well. – a Wellness Web Site
Clear Claim Connection
Electronic Refund Management Adobe Acrobat PDF
Fraud Awareness Tutorial
Obesity Management Tool Kit Web Site 

Contact Us

BCBSNM Contact Information for Providers