BCBS Prefix Lookup

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YIE

BCBS Prefix YIE

Blue Cross and Blue Shield of New Mexico

New Mexico • HMO, Traditional Indemnity, POS

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 YIE

HMO

HMO coverage means this member must use providers within the plan's network. A primary care physician serves as the care coordinator and must authorize specialist referrals. Emergency services are the primary exception to the network requirement. Always verify referral status before providing non-emergency specialty care.

Traditional Indemnity

Traditional indemnity coverage means the member has fee-for-service insurance with no network limitations. Any licensed provider can be seen without referrals. Claims are reimbursed based on usual, customary, and reasonable (UCR) charges. The member typically pays a deductible and a percentage of allowed charges.

POS

This is a Point of Service (POS) prefix. POS plans offer flexibility similar to a PPO but incentivize in-network care through lower cost-sharing. Members designate a primary care physician who can issue referrals for the highest level of benefits. Out-of-network claims are covered but at significantly reduced rates.

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

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)

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

Look up another BCBS prefix · All prefixes for Blue Cross and Blue Shield of New Mexico

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