Learn what's new on iEXCHANGE® for 2014
Effective January, 1, 2014, Blue Cross and Blue Shield of New Mexico is enhancing iEXCHANGE®, its web-based preauthorization tool, to support requests for additional behavioral health, pharmacy and medical/surgical services.
With the iEXCHANGE portal you can submit initial and extension requests for approval prior to services being rendered, once eligibility, benefits and preauthorization requirements have been confirmed through your current process. This flexible tool provides you with real-time responses for direct submission of inpatient admissions and select outpatient medical services and enables you to send preauthorization submissions after hours and on weekends.
Webinars are scheduled throughout January to provide iEXCHANGE users with an overview of what’s new and improved for 2014. January sessions are listed below. To register, select your preferred day and time.
For NM Medicaid providers, separate webinar sessions are available.
For more information about iEXCHANGE, including how to register if you are not a current user, visit the Provider Tools page.
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Please note that the fact that a service has been preauthorized/pre-certified 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 applicable on the date services were rendered.