YIW

BCBS Prefix YIW

Blue Cross and Blue Shield of New Mexico

New Mexico • Medicare Advantage, Traditional Indemnity, 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

Coverage under prefix YIW

Medicare Advantage

This prefix is associated with Medicare Advantage. MA plans combine hospital (Part A) and medical (Part B) coverage, and many include prescription drug coverage (Part D). When billing, confirm whether the plan uses the same payer ID for MA claims as for commercial claims, as many BCBS companies use separate IDs.

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.

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.

About Blue Cross and Blue Shield of New Mexico

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