Claim Status Tool
The Availity® Claim Status Tool offers enhanced, real-time claim status functionality to help you manage and resolve claims processed by Blue Cross and Blue Shield of New Mexico (BCBSNM) for all of our members. This includes government programs (Medicare Advantage and New Mexico Medicaid), commercial, on- and off-exchange and Federal Employee Program® (FEP®) members.
The Claim Status tool is found in the Claims & Payment menu via the Availity Provider Portal. It allows you to search for claims by a Member ID or specific Claim Number. Claim status results provide more detailed information than the HIPAA-standard claim status 276/277 transaction, including the following details:
- Patient and provider data submitted on claims
- In-network and out-of-network patient liability breakdown
- Billing and rendering provider name and National Provider Identifier (NPI)
- Check number, check date and payee name
- Other carrier payment amount
- Ineligible reason codes and associated descriptions
- Transaction ID reference numbers
This tool is accessible to registered Availity users. If you aren’t registered, go to Availity and select "Register" to complete the online guided process, at no charge.
For more details, refer to the Claim Status Tool User Guide .
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.