July 12, 2021
Fee schedules are a key component of your contractual relationship with Blue Cross and Blue Shield of New Mexico (BCBSNM). To ensure you have this information quickly, BCBSNM is implementing a new online Fee Schedule viewer tool via the Availity Provider Portal for participating professional providers. Once available professional providers may use this Availity offering to electronically request a range of up to 20 procedure codes and immediately receive the contracted price allowance for the patient services you perform.
How to Access the Availity Fee Schedule Listing Tool:
- Log in to Availity
- Select Claims & Payments from the navigation menu
- Select Fee Schedule Listing
Note: Availity Administrators must assign the "Provider Fee Schedule" role for users to gain access to this tool.
How to Use the Availity Fee Schedule Listing Tool:
- Select BCBSNM as the payer
- Select your organization and Tax ID number
- Enter the Billing National Provider Identifier (NPI) and Rendering NPI (if applicable)
- Select the Network, Place of Service, and Provider
- Enter the procedure code(s) and modifier(s)
You must be registered with Availity to use the new Fee Schedule tool. You can sign up today at Availity, at no charge. For registration assistance, call Availity Client Services at 800-282-4548. If you do not have online access, you may continue to submit your requests using the Professional Fee Schedule Request form located on our provider website.
Training
BCBSNM is hosting complimentary webinars for you to learn how to use the new Availity Fee Schedule Listing tool. To register for a webinar, click on your preferred session date below.
July 26, 2021 – 9:00 a.m. to 9:30 a.m.
July 27, 2021 – 9:00 a.m. to 9:30 a.m.
July 28, 2021 – 1:00 p.m. to 1:30 p.m.
July 29, 2021 – 9:00 a.m. to 9:30 a.m.
July 30, 2021 – 1:00 p.m. to 1:30 p.m .
For More Information
Watch for the instructional Fee Schedule Tool User Guide that will be added to the Provider Tools section of our website. If you have further questions, please contact our Provider Education Consultants.
Medicare Advantage
A link to this fee schedule is available by selecting the Claims & Payments menu, Fee Schedule Listing, and then choose the appropriate Additional Fee Schedule for Medicare. It can also be found via the Resources tab in the BCBSNM-branded Payer Spaces section in the Availity portal .
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.
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