Includes the following training modules:
Duration: 3 hours
Fully Funded vs Self Funded Group (15 minutes)
This module explains the differences between a fully funded and self funded group.
Refund and Recoupments (30 minutes)
This module describes the difference between a Refund and a Recoupment and the timeframes associated with them.
Clear Claim Connection (30 minutes)
This module explains the web-based auditing reference tool that enables Blue Cross and Blue Shield of New Mexico (BCBSNM) to disclose our claim auditing rules and clinical rationale.
BlueCard (Out-of State Members) (30 minutes)
This module explains that members of a Blue Cross and Blue Shield (BCBS) plan are able to obtain health care services while traveling or living in another BCBS plan service area.
Provider Website Tour (1 hour)
Take a tour of the BCBSNM provider website. Find news and updates, claim filing information, medical policy information, provider tools that will assist your office in doing business with BCBSNM.
To request personal one-on-one training on any of the above modules, e-mail us. Please include your name, telephone number, and module interest.