BCBS Prefix Lookup

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NMJ

BCBS Prefix NMJ

Blue Cross and Blue Shield of New Mexico

New Mexico • EPO, Medicare Advantage, High-Deductible Health Plan (HDHP)

Billing essentials

Provider phone: (800) 676-2583
Electronic payer ID: 00790
Claims mailing address: P.O. Box 660058, Dallas, TX 75266-0058
Timely filing limit: 90 daysCompare all plans
Prior authorization phone: (800) 676-2583
Provider website: https://www.bcbsnm.com/provider/

Coverage under prefix NMJ

EPO

Under this EPO prefix, the member has no out-of-network coverage for routine care. However, unlike HMO plans, no referral is needed to see a specialist within the network. When billing, confirm the provider's network participation status with the plan before submitting the claim.

Medicare Advantage

Medicare Advantage (MA) coverage means this member receives their Medicare benefits through a private BCBS plan rather than through original Medicare. MA plans may have different payer IDs and claims addresses than the commercial plan. Check with the payer to confirm the correct submission details for Medicare Advantage claims.

HDHP

This prefix is associated with a High-Deductible Health Plan. HDHP members pay more out-of-pocket before insurance coverage begins. These plans are commonly paired with HSA or HRA accounts. When billing, be aware that the member may have significant cost-sharing responsibility until their annual deductible is satisfied.

About Blue Cross and Blue Shield of New Mexico

Independent licensee serving New Mexico members with commercial, Medicare and Medicaid plans.

Other prefixes for Blue Cross and Blue Shield of New Mexico

HMO, PPO, Medicare Advantage, Prescription Drug Plans (Part D)

EPO, POS, Medicare Advantage

HMO, EPO, Traditional Indemnity

EPO, HMO, Traditional Indemnity

Medicaid, High-Deductible Health Plan (HDHP), PPO

Traditional Indemnity, Medicare Advantage, High-Deductible Health Plan (HDHP)

Medicaid, High-Deductible Health Plan (HDHP), PPO

Traditional Indemnity, PPO, Medicaid

POS, Medicare Advantage, Traditional Indemnity

PPO, Medicare Advantage, Traditional Indemnity

High-Deductible Health Plan (HDHP), Traditional Indemnity, POS

High-Deductible Health Plan (HDHP), Traditional Indemnity, Medicaid

POS, High-Deductible Health Plan (HDHP), HMO

Medicaid, PPO, EPO

Traditional Indemnity, Medicare Advantage, High-Deductible Health Plan (HDHP)

HMO, Traditional Indemnity, POS

PPO, Medicaid, High-Deductible Health Plan (HDHP)

Medicare Advantage, EPO, Traditional Indemnity

High-Deductible Health Plan (HDHP), POS, HMO

Medicaid, PPO, Medicare Advantage

EPO, Traditional Indemnity, High-Deductible Health Plan (HDHP)

HMO, PPO, Medicaid

Traditional Indemnity, Medicare Advantage, EPO

POS, High-Deductible Health Plan (HDHP), HMO

Medicaid, PPO, Traditional Indemnity

Medicare Advantage, EPO, High-Deductible Health Plan (HDHP)

Traditional Indemnity, Medicaid, Medicare Advantage

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