Effective May 1, 2022, Blue Cross and Blue Shield of New Mexico (BCBSNM) will implement its new program with Avalon for claims for certain outpatient laboratory services provided to many of our commercial members.
There’s Still Time for Training
Attend free webinars on how to use the Avalon Trial Claim Advice Tool and learn more about the Laboratory Benefit Management Program. To register, select your preferred date and time from the list below:
Trial Claim Advice Tool opens April 1, 2022
Beginning April 1, 2022, you can get free access to the Avalon’s Trial Claim Advice Tool by registering at Availity.com, which will allow you to input laboratory procedure and diagnosis codes to see, before submitting a claim, the potential outcome of your claim.
- The Trial Claim Advice Tool does not guarantee approval, coverage, or reimbursement for health care services
- Potential claim outcomes provided by Avalon’s Trial Claim Advice Tool consider information entered into the tool for the date of service entered, historical claims finalized through the prior business day and may link to applicable policies and/or guidelines
- Self-service Trial Claim Advice Tool via Availity® available 24/7
Avalon Health Solutions (Avalon) is an independent company that provide claims management services for members with coverage through BCBSNM. BCBSNM makes no endorsement, representations or warranties regarding any products or services provided by third-party vendors such as Avalon.
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.