Certain services require approval from BCBSNM before being received; if approval is not obtained before your clients receive them, the services will be denied. The list of services that require prior approval is in the Benefit Booklet. To request prior approval, your clients or their provider must call BCBSNM Health Services (505-291-3585 in Albuquerque, or toll-free at 1-800-325-8334), Monday through Friday, from 8 a.m. to 5 p.m. Mountain Time.
Note: If the plan includes mental health, alcoholism, and drug abuse services, prior approval must be requested from the BCBSNM behavioral health services administrator. Call 505-816-6790 in Albuquerque, or toll-free at 1-800-583-6372. Phones are open 7 days a week, 24 hours a day.