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Government Programs: Verifying Claim Status in the Availity® Provider Portal

March 5, 2019

This notice applies to providers rendering services for the following Blue Cross and Blue Shield of New Mexico (BCBSNM) government programs members:

  • Blue Cross Medicare Advantage HMOSM
  • Blue Cross Medicare Advantage PPOSM

A new claim status offering within the Availity Portal has been implemented to better assist providers with obtaining claim details online. Instead of using the Claim Status Inquiry tool, government programs providers can now obtain claim processing details by using the new Claim Status tool.

How to access and use the new Claim Status tool via Availity Portal:

  • Log into availity.com Learn more about third-party links
  • Select the “Claims & Payment” tab from the main menu and select “Claim Status and Remittance Inquiry”
  • Next select “Claim Status”
  • Choose the applicable government programs payer from the drop-down list
  • Enter the essential provider, patient and claim data

Important claim status information is available within a few clicks, lessening the need to speak with a Customer Advocate. As a reminder, you must be registered with Availity to utilize the Claim Status tool. For registration information, visit availity.com Learn more about third-party links, or contact Availity Client Services at 800-282-4548.

Additional Support

Learn how to use this new Availity offering by attending an Availity 101 training webinar hosted weekly by BCBSNM. To register for an upcoming session, refer to the Training page on our provider website. If you need further assistance or customized training, email our Provider Education Consultant team at PECS@bcbsnm.com

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.