Routing destination
Blue Cross and Blue Shield of New Mexico
The first three characters on the member’s current ID card identify this BlueCard home plan. Use the terminal trading partner below for the published electronic routes.
Enhanced claim statusEDI 276/277, Availity ECS, or portal automation
Available
EligibilityEDI 270/271
Available
Appeals agentAI appeals workflow
Not published
Phone and fax contacts
Numbers vary by plan, service, and department. Check the member’s ID card before calling or sending a fax.
Phone lines3
- (800) 325-8334Blue Cross and Blue Shield of New Mexico Health Services DepartmentHealth services (utilization management) line for Blue Cross and Blue Shield of New Mexico, handling authorization, behavioral health and peer-to-peer requests for members and healthcare professionals.Answered by: Automated phone menu
- (800) 835-8699Blue Cross Blue Shield Services LineBlue Cross Blue Shield services line that routes members, enrollment callers, providers, and HR; the provider branch sorts medical, pharmacy, dental, and behavioral health calls.Answered by: Automated phone menu
- (888) 349-3706Blue Cross and Blue Shield of New Mexico Provider ServicesBlue Cross and Blue Shield of New Mexico provider services line for medical, pharmacy, dental and behavioral health inquiries, using the billing NPI.Answered by: Automated phone menu → Hold queue
Phone numbers25
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(800) 325-8334 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 451-0287 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Health Benefit Plan Coverage, Hospital, Hospital - Inpatient, Physician Visit - Office: Well, Urgent Care, Chiropractic, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Vision (Optometry) |
| phone(800) 638-3120 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(800) 676-2583 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Health Benefit Plan Coverage |
| phone(800) 877-7195 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(800) 972-8088 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| |
| phone(800) 999-5431 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(877) 393-2393 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(888) 349-3706 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Health Benefit Plan Coverage, Hospital, Hospital - Inpatient, Hospital, Hospital - Inpatient, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Hospital, Hospital - Inpatient, Urgent Care, Chiropractic, Professional (Physician) Visit - Office, Hospital - Outpatient, Vision (Optometry), Hospital, Hospital - Inpatient, Urgent Care, Chiropractic, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Hospital - Outpatient, Hospital, Hospital - Inpatient, Urgent Care, Chiropractic, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Hospital - Outpatient, Vision (Optometry), Urgent Care |
| phone(866) 470-6244 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(888) 235-4713 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(855) 339-8558 | Behavioral healthBenefit context: Active Coverage |
| Mental Health |
| phone(800) 424-8270 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(800) 452-8507 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(800) 476-0677 | Other stated contextBenefit context: Non-Covered |
| Vision (Optometry) |
| phone(800) 541-6652 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(800) 920-2485 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(833) 447-4397 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(833) 462-0104 | Other stated contextBenefit context: Limitations |
| Hospital, Hospital - Inpatient |
| phone(833) 798-6733 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(855) 343-4851 | Other stated contextBenefit context: Co-Insurance |
| Hospital, Hospital - Inpatient |
| phone(866) 803-8002 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(800) 327-6716 |
| ||
| phone(800) 727-2227 |
| ||
| phone(844) 465-5227 |
|
Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.
Fax numbers6
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| fax(833) 453-0101 | Other stated contextBenefit context: Coverage Basis |
| |
| fax(844) 295-4637 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| fax(877) 665-5542 | Other stated contextBenefit context: Limitations |
| Hospital, Hospital - Inpatient |
| fax(501) 378-2562 |
| ||
| fax(501) 379-1200 |
| ||
| fax(888) 282-1321 |
|
Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.
Retired numbers1
These numbers played a not-in-service recording when called. Do not use them; call the replacement or the number on the member’s ID card.
- (800) 397-7337Not in service when called; re-check pending
Member ID guidance
Read the prefix from the current card.
Do not infer a prefix from another member or an older card. Federal Employee Program IDs beginning with a single “R” follow a separate route.
LLLNNNNNNNNNMasked formats use L for a letter, N for a number, and ? for an unknown character. No member IDs are published.
Evidence
Source and verification
- Prefix, home plan, and state
- Substrate BlueCard mapping snapshot. Data last changed ; checked . Check the current prefix with BCBS ↗
- Terminal payer and payer ID
- Linked to the directory’s terminal payer record, checked . Open the payer routing sources →
- Availability signals
- Substrate’s reviewed route configuration and claim-status network, checked .
Use the member’s current ID card and confirm the current payer or clearinghouse route before submission. Prefix associations and transaction support can change.