While it’s quicker to submit eligibility and benefit inquiries through Availity® Essentials, you can use our IVR system to submit them by phone. You can also ask questions or request a claim adjustment through IVR. You’ll need a document control number (claim number) for reference during the call.
To access IVR: Call Provider Service Unit at 1-888-349-3706 Mondays through Fridays from 5 a.m. to 10:30 p.m. and Saturdays from 5 a.m. to 5 p.m.
- Provide your National Provider Identifier when prompted You may speak or enter your information by touch-tone.
- If you don’t have an NPI or are calling from out of state, you may say or enter your Taxpayer Identification Number when prompted by the IVR. You must specify provider type, specialty and network status to receive a quote of benefits.
Learn how to apply for your NPI.
Caller Guides
- Eligibility and Benefits Caller Guide
- Inpatient Prior Authorization Caller Guide
- Outpatient Prior Authorization Caller Guide
- Behavioral Health Inpatient Prior Authorization Caller Guide (Non-FEP)
- Behavioral Health Outpatient Prior Authorization Caller Guide (Non-FEP)
- Check Prior Authorization Status Caller Guide
- Claims Caller Guide
- Check Authorization by Procedure Code Caller Guide
Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to Blue Cross and Blue Shield of New Mexico. BCBSNM makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.