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Rendering, Ordering, Attending and Referring Provider Information Required for Blue Cross Community CentennialSM Claims

May 15, 2018
Updated May 10, 2018

Update: Effective for claims with dates of service July 1, 2018, and after, providers must include the appropriate information regarding the rendering, ordering, attending, and referring provdiers on all claim submissions. If this detailed information is not included in the claim submission, Blue Cross and Blue Shield of New Mexico will deny blue Cross Community Centennial claims for dates of service on or after July 1, 2018.

As a reminder, in accordance with the requirements found in the New Mexico Human Services Department (HSD) Supplements17-07 ,17-08 and 17-09, released on Sept. 11, 2017, the appropriate rendering, ordering, attending and referring provider must be billed on claim submissions. Effective for claims with dates of service Apr. 15, 2018, and after, providers must include the appropriate information regarding the rendering, ordering, attending and referring providers on all claim submissions. If this detailed information is not included in the claim submission, Blue Cross and Blue Shield of New Mexico will deny Blue Cross Community Centennial claims for dates of service on or after Apr. 15, 2018. Please refer to the HSD Supplements for the situations which are exempt from this requirement.


For more information about including the appropriate rendering, ordering, attending and/or referring provider information on Blue Cross Community Centennial Claims, please refer to the HSD Supplements above or contact your provider network representative at (505) 837-8800 or toll free at 1-800-567-8540.