Starting Oct. 15, 2022, you will be able to use the Blue Cross and Blue Shield of New Mexico (BCBSNM) interactive voice response (IVR) system to complete some prior authorization (PA) requests for Federal Employee Program® (FEP) members.
Through the BCBSNM IVR you will be able to request PA for some:
- Inpatient services
- Outpatient services
You will also be able to:
- Check the status of an existing prior authorization
- Get an extension for an existing prior authorization
Note: use your existing PA request options for the services below. The IVR option will not accommodate PA requests for these services for FEP members:
- Behavioral health
- Chemical dependency
Remember: Check eligibility and benefits electronically via Availity® Essentials or call the customer service number on the member ID card to find out if PA is needed.
Checking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility, and the terms of the member’s certificate of coverage, including, but not limited to, exclusions and limitations applicable on the date services were rendered. If you have any questions, call the number on the member's ID card.
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 offered by them.