Skip to main content
CredNet

Blue Cross Community Centennial

Part of Health Care Service Corporation

Regional planmedicalvision
Typical enrollment turnaround
60-90 days

Summary

Blue Cross Community Centennial is a regional health plan, part of Health Care Service Corporation, offering medical and vision coverage operating in New Mexico. Claims route under payer ID GNMMD1, with 4 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, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
GNMMD1Also seen as 1243, 14296, 4570, MC721
Also known as
Blue Cross and Blue Shield of New Mexico, Health Care Service Corporation
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.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Blue Cross Community Centennial?
The payer ID for Blue Cross Community Centennial is GNMMD1. Alternate IDs seen across clearinghouses include 1243, 14296, 4570, MC721.
How long does Blue Cross Community Centennial provider enrollment take?
Blue Cross Community Centennial 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 Community Centennial require CAQH?
Yes. Blue Cross Community Centennial uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
Does Blue Cross Community Centennial require ERA enrollment?
Yes. Blue Cross Community Centennial requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Blue Cross Community Centennial cover?
Blue Cross Community Centennial operates in NM. Coverage can differ by plan and product line, so confirm the specific plan before you file.

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.