February 26, 2020
Are you tired of waiting on your paper mailed provider claim summary (PCS) reports to determine the outcome of claims processed by Blue Cross and Blue Shield of New Mexico (BCBSNM)? No need to wait, you can obtain your PCS online using the Reporting On-Demand tool via the Availity® Provider Portal. Online self-service access to the PCS allows you to acquire claim processing details in just a few clicks.
What is changing?
As of May 4, 2020, BCBSNM will discontinue the mailing process for paper PCS receivers. If you currently receive mailed PCS reports and would like to continue to receive via mail or learn more about Reporting On-Demand, you may submit a request to the Provider Education Consultants.
How do I obtain my PCS reports online?
Providers can view, download and/or print the PCS once BCBSNM processes the claim using the Reporting On-Demand tool, at no cost. This online application is in BCBSNM-branded Availity Payer Spaces and gives you a way to get claim outcome results for multiple patients in one central location. For navigational instructions, refer to the Reporting On-Demand tip sheet on our Provider website.
Reporting On-Demand is available to registered Availity users. If you are not yet registered with Availity, visit Availity and complete the online, no cost, guided registration today.
Not Registered for Electronic Remittance Advice (835 ERA)?
The ERA or ANSI 835 transaction is a HIPAA-compliant method of receiving claim payment and remittance details. The ERA can be automatically posted to your patient accounting system. When you enroll for ERA, you can automatically be enrolled for the electronic payment summary (EPS), which is an electronic version of the PCS.
If you have not yet enrolled to receive 835 ERA or EPS files from BCBSNM, you can enroll online via the Availity Portal. Refer to the Availity EFT & ERA Enrollment tip sheet for enrollment instructions. Additionally, ERA receivers may also use Availity's Remittance Viewer tool to search, view, save and print remittance information, even if the ERA is delivered to an appointed receiver.
BCBSNM is hosting complimentary webinars you to learn how to obtain the PCS report online using the Reporting On-Demand tool. Simply click on your preferred date and time below to register.
- April 14, 2020 – 2 p.m. to 2:30 p.m.
- April 16, 2020 – 9 a.m. to 9:30 a.m.
- April 28, 2020 – 1 p.m. to 1:30 a.m.
- April 30, 2020 – 11 a.m. to 11:30 a.m.
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 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.