BCBS Prefix Lookup

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NMM

BCBS Prefix NMM

Blue Cross and Blue Shield of New Mexico

New Mexico • POS, Medicare Advantage, Traditional Indemnity

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 NMM

POS

POS coverage under this prefix operates on a tiered system. Tier 1 (in-network with referral) provides the highest coverage. Tier 2 (in-network without referral) provides moderate coverage. Tier 3 (out-of-network) provides the lowest coverage. Verify which tier applies before submitting the claim.

Medicare Advantage

Medicare Advantage coverage under this prefix means the plan administers Medicare Part A and Part B benefits on behalf of CMS. These claims may have different processing rules than commercial claims, including different prior authorization requirements and appeal timelines. CMS timely filing rules (365 days) typically apply.

Traditional Indemnity

This prefix includes traditional indemnity coverage. Indemnity plans are the oldest form of health insurance and offer maximum provider choice with no network restrictions. Members pay a percentage of charges after meeting their deductible. Reimbursement is based on reasonable and customary rates for the service area.

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

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

Traditional Indemnity, PPO, Medicaid

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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