Blue Cross and Blue Shield of New Mexico

Summary

Blue Cross and Blue Shield of New Mexico is a regional health plan, part of Health Care Service Corporation, offering dental, medical, and vision coverage operating in New Mexico. Claims route under payer ID 00790, with 9 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through BCBS NM Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

00790Also seen as 10042, 7403, 790, 84100, G00790, NMBCBS and 3 more

Also known as

BCBSNM, Blue Cross Blue Shield New Mexico, Blue Cross Blue Shield of New Mexico, Blue Cross Community Centennial, Blue Cross and Blue Shield of New Mexico - Medicare Advantage

Uses CAQH

YesApplication route: CAQH application only

Service area

NM

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Blue Cross and Blue Shield of New Mexico?

The payer ID for Blue Cross and Blue Shield of New Mexico is 00790. Alternate IDs seen across clearinghouses include 10042, 7403, 790, 84100.

How long does Blue Cross and Blue Shield of New Mexico provider enrollment take?

Blue Cross and Blue Shield of New Mexico provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Blue Cross and Blue Shield of New Mexico require CAQH?

Yes. Blue Cross and Blue Shield of New Mexico uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Blue Cross and Blue Shield of New Mexico require ERA enrollment?

Yes. Blue Cross and Blue Shield of New Mexico requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Blue Cross and Blue Shield of New Mexico cover?

Blue Cross and Blue Shield of New Mexico operates in NM. Coverage can differ by plan and product line, so confirm the specific plan before you file.

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