Online Member Liability Estimator now Available
The Availity® CareCost EstimatorSM (CCE), developed jointly with Availity, is a member liability estimator* (MLE) tool. The CCE will review the available information submitted: primary diagnosis, procedures performed, available benefits and contractual allowances. Then, the CCE will calculate an estimated out-of-pocket cost in real-time for office and outpatient services provided to Blue Cross and Blue Shield of New Mexico (BCBSNM) members.**
The CCE is available free of charge to BCBSNM independently contracted providers who are registered with Availity. This MLE function is not available via BCBSNM Customer Advocates on the phone or through our automated Interactive Voice Response (IVR) phone system.
Remember — the CCE is exactly that — an "estimator." This means that the CCE tool provides an estimate of the member's liability based on the information available at the time the estimate was processed. If the actual dollar amount collected from the member is greater than the amount owed, once the claim has been processed, the provider will be obligated to promptly refund the overpayment to the member.
For more details, refer to the Availity CareCost Estimator Tip Sheet 
*. To register with Availity 
, gain access to the free CCE tool and find out about other options, visit Availity's website , or call Availity Client Services at (800) AVAILITY (282-4548) for assistance.
* The Estimator is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member's eligibility, benefits, limitations and exclusions and the terms of the member's certificate of coverage in effect on the date services are rendered. Accumulated amounts, such as deductibles, may change as additional claims may have been processed after the estimate was provided.
** See the CCE Tip Sheet for a brief list of exceptions.
Availity is a registered trademark of Availity, L.L.C., an independent, third-party vendor. Availity is solely responsible for all of its products and services, including the CareCost Estimator.
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