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Availity® Essentials
Register with Availity at no cost to conduct secure online transactions, such as checking eligibility and benefits, submitting prior authorization requests handled by Blue Cross and Blue Shield of New Mexico, obtaining claim status, viewing provider claim summaries and more. Learn more, register or log on: Availity Essentials
Availity Client Services: 800-282-4548
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Behavioral Health Program
Behavioral Health Unit
(Includes prior authorization)
888-898-0070
Fax 877-361-7659Address:
BCBSNM Behavioral Health Unit
PO Box 660240
Dallas, TX 75266-0240
FEP Behavioral Health
Phone: 877-783-1385 fepblue.org -
Care Management Programs
Care Management Programs 855-462-1781
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Condition Management
866-874-0912
Fax: 505-816-3856
Blue Cross and Blue Shield of New Mexico
Medical Care Management
P. O. Box 660712
Dallas, TX 75266-0712 -
Condition Management for Exchange Members
Condition Management 866-874-0912
Fax: 505-816-3856
Blue Cross and Blue Shield of New Mexico
Medical Care Management
P. O. Box 660712
Dallas, TX 75266-0712 -
Credentialing Questions
800-567-8540 or 505-837-8800
Credentialing Status Checker -
Dental Benefits Customer Service (Commercial only)
877-723-5697 (Monday through Friday, 8 a.m. to 6 p.m. CT.)
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Eligibility and Benefits
Availity Interactive Voice Response
888-349-3706
HealthXnet 866-676-0290 -
Fax Numbers
Fax Numbers - Case Management
505-816-3861 - Disease Management
505-816-3856 - Health Services
505-816-3608 - Network Services
866-290-7718 or 505-816-2688 - Utilization Management
505-816-3857
- Case Management
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Government
Government Medicaid -
Health Services
- Prior authorization and/or Recommended Clinical Review (RCR) of medical services
- Case Management
- Pharmacy Services
800-325-8334 or 505-291-3585
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Health Services for Exchange Members
Prior authorization of medical services
855-462-1783
Fax: 866-589-8253
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Medical Management Correspondence for Exchange Members
Medical Management Correspondence for Exchange Members 855-462-1781
Fax: 866-589-8254
Blue Cross Blue Shield of New Mexico
Medical Care Management
P. O. Box 660712
Dallas, TX 75266-0712 -
Medicare Advantage
Medicare Advantage Provider Customer Service
Individual plan phone 877-774-8592 Group plan phone 877-299-1008 Medicare Advantage Claims Payments and Appeals
Electronic claims (preferred) Availity® Essentials or your preferred vendor
Electronic payer ID 66006
Paper claims Blue Cross Medicare Advantage
c/o Provider Services
PO Box 3686
Scranton, PA 18505Medicare Advantage Claims Payments and Appeals
Register with Availity at no cost to conduct secure online transactions, such as checking eligibility and benefits, submitting prior authorization requests handled by Blue Cross and Blue Shield of Illinois, obtaining claim status, viewing provider claim summaries and more. Learn more, register or log on: Availity Essentials
Availity Client Services: 800-282-4548
Prospective and Concurrent Medical Appeals
Who can request a medical appeal: Member, member's authorized representative, contracted providers or noncontracted providers
Standard appeals fax 1-800-419-2009 Expedited appeals fax 1-800-338-2227 Mailing address Blue Cross Medicare Advantage
c/o Appeals Department
PO Box 663099
Dallas, TX 7526Retrospective Medical Appeals
Who can request a retrospective medical appeal: Member, member's authorized representative or noncontracted providers
Standard appeals fax 1-800-419-2009 Mailing address Blue Cross Medicare Advantage
c/o Appeals Department
PO Box 663099
Dallas, TX 75266Provider Disputes
Who can request a provider dispute: contracted providers
Standard claims dispute fax 1-855-674-9192 Mailing address
Blue Cross Medicare Advantage
c/o Provider Disputes
PO Box 4555
Scranton, PA 18505Provider Claims Disputes
Who can request a provider claims dispute: Contracted and noncontracted providers
Standard claims dispute fax 1-855-674-9192 Mailing address Blue Cross Medicare Advantage
Attn: Provider Claims Disputes
PO Box 4555
Scranton, PA 18505Grievances
Who can file a grievance: Member or member’s authorized representative
Grievance fax 1-855-674-9189 Mailing address Blue Cross Medicare Advantage
Attn: Grievances
PO Box 4288
Scranton, PA 18505Medicare Advantage Utilization Management
Availity Authorizations & Referrals Electronically submit prior authorization requests
Prior authorization requirements for Medicare Advantage EviCore healthcare prior authorization Prior authorization and out-of-network referrals Phone: 877-774-8592
Fax: 855-874-4711 -
Network Services
For application inquiries, contractual issues, provider orientation, and education
Network Contact List -
Provider Education
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Provider Service Unit
To obtain benefits, eligibility, or adjust a claim800-835-8699
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 BCBSNM. BCBSNM makes no endorsement, representations or warranties regarding any products or services provided by independent third-party vendors such as Availity. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly.