Receive a “green” Blue Review
“Losing the paper” will give you quicker access to BCBSNM information and make distribution easier – just forward the newsletter to your staff, rather than making copies or routing your single copy.
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Blue goes Green: Good for you, better for the planet
BCBSNM is committed to eco-friendly business practices. One way we maintain this commitment is by providing you with a variety of electronic resources to help reduce paper and streamline administrative processes in your office.
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Medical Policy updates
Approved new or revised Medical Policies and their effective dates are posted on our website the first day of each month – and in this newsletter. These policies may impact your reimbursement and your patients’ benefits.
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HealthXnet® eligibility inquiries now include BlueSaludSM membership
HealthXnet, a Web-based health information exchange, offers two new eligibility inquiry options for BCBSNM’s new BlueSalud Medicaid membership.
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Taxonomy codes: What they are, how they’re used
If a taxonomy code is required in order to properly pay or process a claim, it must be reported on the claim form. Reporting of the Healthcare Provider Taxonomy Code varies among health plans. Learn why you need this code.
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BCBSNM Medicare Part D formulary changes for 2009
This new formulary includes additions of some new drug therapies and the migration to some important generic equivalents that became available in 2008.
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FDA alert: Increased risk of death with antipsychotic drug treatment for dementia
On June 16, 2008, the FDA notified health care professionals that both conventional and atypical antipsychotics are associated with an increased risk of mortality in elderly patients treated for dementia-related psychosis.
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New member ID cards will keep member information secure
In upcoming months, providers will begin to see differences in the ID of their BCBSNM patients, including the addition of a magnetic strip on the back of the card.
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Medical ID theft – a new threat to your practice
This type of identity crime has the potential to be very serious for your practice and your patients.
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The 2008 provider satisfaction survey results are in
Results show that BCBSNM scored significantly higher than other New Mexico health plans in customer service and the accuracy and timeliness of claims processing.
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We are here to help you
In each issue, we profile employees of Provider Network Management, the Provider Service Unit (PSU), Health Care Management, or the Provider Access and Servicing Strategy (PASS) group, briefly describing what they do for you, the provider.
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Office Staff
Are claim denials frustrating you?
Claim denials can be costly for your practice. These simple yet valuable steps can help your claims be processed correctly the first time.
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Claims filing tips
Tips for physician assistants on the use of NPIs and a social security number update.
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Providing additional information on electronic claims
When you submit electronic claims to BCBSNM that require additional information, please use the narrative field to expedite claims processing.
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Provider claim summary/electronic payment summary enhancement update
As part of our corporate Blue goes Green initiative, the paper provider claim summary (PCS) will be discontinued for providers who have been receiving the electronic remittance advice (ERA) and the electronic payment summary (EPS) for 30 days or more.
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Claims inquiries? Call the Provider Service Unit (PSU) at 888-349-3706
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Network Management contacts and related service areas
Network Management professional contracting service areas map
Blue Medicare PPOSM
Blue Medicare PPO provider portal now available!
Blue Medicare PPO providers can use our new portal to verify Blue Medicare PPO member benefits and eligibility and check claims status and payment.
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Blue Medicare PPO network additions
Effective December 1, 2008:
Christus St. Vincent Regional Medical Center
455 St. Michaels Drive
Santa Fe, NM 87505
(505) 983-3361
Not yet contracted for Blue Medicare PPO?
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BlueSaludSM
BlueSalud preauthorization
Unless otherwise prohibited by law, preauthorization is necessary for certain medical services before they are rendered.
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Not yet contracted for BlueSalud?
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Legal disclaimer: BCBSNM makes no endorsements, representations, or warranties about any products or services offered by independent third-party vendors mentioned in this newsletter. The vendors are solely responsible for the products or services offered by them. If you have any questions about the products or services mentioned in this newsletter, contact the vendor directly.
