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Form Finder
Online Tools for Producers
Here are some commonly used forms for conducting business with Blue Cross and Blue Shield of New Mexico (BCBSNM). To access more downloadable forms, please log in to Blue Access for Producers.
To review and sign your request now electronically, select the sign now option below. Or you can download and save the form, to review and sign at a later date.
| Form Name | Digital Form | Download |
|---|---|---|
| 2022 Application for Medicare Supplement Insurance Coverage – Use this application when applying for a Medicare Supplement plan with an effective date on or after April 1, 2022. | N/A | download form |
| 2021 Application for Medicare Supplement Insurance Coverage – Use this application when applying for a Medicare Supplement plan with an effective date on or after April 1, 2021. | N/A | download form |
| Medicare Supplement Notice of Replacement | N/A | download form |
| Medicare Supplement Other Coverage Questionnaire | N/A | download form |
| Medicare Supplement ezBlue Payment Option Authorization Form | N/A | download form |
| Form Name | Digital Form | Download |
|---|---|---|
| Annual MSP Employer Acknowledgement Form (EAF) with Instructions on Completing the Form | N/A | download form |
| Information Regarding the MSP Statute | N/A | download flier |
| MSP Fact Sheet | N/A | download fact sheet |
| Form Name | Digital Form | Download |
|---|---|---|
| Medicare Coordination of Benefits Form | N/A | download form |
| Form Name | Digital Form | Download |
|---|---|---|
| Power of Attorney for Health Care – Members can designate someone they trust to make health care decisions if they are unable to do so. Follow instructions on the form. | N/A | download form |
| Standard Authorization Form and other HIPAA Privacy Forms | N/A | N/A |
