BlueApprovRSM Expedites Medical Surgical, Pharmacy and Behavioral Health Prior Authorization — Attend a Training 

Blue Cross and Blue Shield of New Mexico (BCBSNM) continues to streamline the prior authorization process to reduce your workload with BlueApprovRSM. This new tool in Availity® Essentials expedites approvals for some medical and surgical, pharmacy drugs and behavioral health services for many of our commercial members.

BlueApprovRSM tool offers End-to-End Efficiencies
Registered Availity Essentials users have free, 24/7 access to BlueApprovR tool to:

  • Request prior authorization for inpatient and outpatient medical surgical services, pharmacy drugs and behavioral health services
  • Secure real-time approvals for certain services and begin treatment right away
  • Easily attach medical records
  • Check approval status of your request

Provider Training

You can attend an instructor-led, free webinar to learn how to use BlueApprovR. To register, select your preferred date and time from the list below. Times are Mountain Time:

Use BlueApprovR to Request Prior Authorization for these Types of Care

  • Specialty Pharmacy
  • Behavioral Health
  • Inpatient Acute Care
  • Long-term Acute Care
  • Inpatient Rehab
  • Skilled Nursing Facility
  • Outpatient Hospice
  • Home Health
  • Outpatient Service

How to Submit Prior Authorization Requests through Availity Essentials

  • In Availity, select Payer Spaces from the navigation menu, then BCBSNM 
  • On your Payer Spaces page, select the Applications tab and click BlueApprovR
  • Users will be redirected to BlueApprovR to complete the request online

Other Prior Authorization Request Methods:

If you’re not a registered Availity Essentials user, register today on Otherwise, you may still request prior authorization with BCBSNM by calling the number on the member ID card.

Note: This new tool is currently not available for our Federal Employee Program®, Medicare Advantage or Blue Cross Community CentennialSM members. Please use your existing process for requesting prior authorization for these members.

Don’t forget – benefits will vary based on the service being rendered. Always check eligibility and benefits first for BCBSNM members to confirm if prior authorization is required. This step also will alert you if your request must be submitted through a vendor, rather than BCBSNM.

Provider Resources

Learn more about how to access and use BlueApprovR at our Provider Tools web page.

For More Information

Continue to watch News and Updates for future program updates and training opportunities.


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 third party vendors and the products and services they offer.