Blue Cross Community Centennial
Part of Health Care Service Corporation
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.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several 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.
Related payers
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.