BCBS Prefix Lookup

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YIL

BCBS Prefix YIL

Blue Cross and Blue Shield of New Mexico

New Mexico • Traditional Indemnity, Medicare Advantage, EPO

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 YIL

Traditional Indemnity

This is a traditional indemnity prefix. Unlike managed care plans (HMO, PPO, EPO), indemnity plans do not use provider networks. There are no referral requirements and no restrictions on which providers the member can see. Submit claims to the payer listed above for reimbursement at the plan's allowed rate.

Medicare Advantage

This prefix includes Medicare Advantage coverage. MA plans follow CMS guidelines for timely filing (365 days from date of service), which may differ from the commercial plan's deadline. The payer ID for Medicare Advantage claims may differ from the standard commercial payer ID. Verify before submitting.

EPO

EPO (Exclusive Provider Organization) plans require members to use in-network providers, similar to an HMO. The key difference is that referrals are usually not required to see a specialist. Out-of-network care is not covered except in emergency situations. Submit claims to the payer listed above.

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)

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

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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