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Coverage profile

Work Blue Cross and Blue Shield of New Mexico across every published route

Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Blue Cross and Blue Shield of New Mexico.

Supported

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Blue Cross and Blue Shield of New Mexico.

Available

Coordination of benefits

Real-time check

The Substrate Eligibility Agent can check coordination of benefits for other active coverage and primary or secondary order with Blue Cross and Blue Shield of New Mexico. Results can be partial. Enrollment is not required for this check.

Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for Blue Cross and Blue Shield of New Mexico.

Supported

Substrate prior authorization catalog

1 source

Browse Blue Cross and Blue Shield of New Mexico’s official prior authorization lists and lookups in Substrate’s catalog.

  • Plan scope
  • Original sources
  • Review dates
Open prior authorization catalog

Other aliases

Also known as

  • 00790
  • 10042
  • 5565
  • 7403
  • 790
  • 84100
  • G00790
  • NMBCBS
  • NMBLS
  • SB790
  • SB790MA
  • BCBSNM
  • Blue Cross Blue Shield New Mexico
  • Blue Cross Blue Shield of New Mexico
  • Blue Cross Community Centennial
  • Blue Cross and Blue Shield of New Mexico - Medicare Advantage
  • BCBSNM790
  • BCBS NEW MEXICO
  • HCSCNM
  • BCBSNMBCBS

BlueCard home-plan routing

These 46 member ID prefixes resolve to Blue Cross and Blue Shield of New Mexico as their terminal payer. Open a prefix to review its home plan, state, payer ID, and published routes.

Member ID prefixes

Payer intelligence

Observed adjudication timing

How long completed claims in Substrate’s aggregate network took from payer receipt to the 835 payment date.

Median time to payment

7 days
10% of adjudications by
2 days
90% of adjudications by
14 days
Applicable state coverage
TX
Current As Of
July 2026

Five-month median trend

Days to 835 payment
Blue Cross and Blue Shield of New Mexico median observed adjudication timingMonthly median days from payer receipt to 835 payment from April 2026 through August 2026. Missing qualified months are shown as gaps.07.515AprMayJunJulAug
View chart data as a table
Blue Cross and Blue Shield of New Mexico observed adjudication timing by service month
Service monthMedian10% of adjudications by90% of adjudications byCompleted claimsCoverage
Apr8 days4 days20 days208TX
May13 days2 days16 days502TX
Jun12.1 days2 days16 days490TX
Jul7 days2 days14 days276TX
AugNo qualified data

Payer policies

Blue Cross and Blue Shield of New Mexico policies

The first 25 of 542 public policies Substrate tracks for Blue Cross and Blue Shield of New Mexico, by title. Links open the payer's own document; check its current version before relying on it.

Search all 542 Blue Cross and Blue Shield of New Mexico policies by CPT code, keyword or policy number →

Routing reference

Blue Cross and Blue Shield of New Mexico payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

Blue Cross and Blue Shield of New Mexico payer name, operating states, and transaction-specific payer IDs
Payer nameBlue Cross and Blue Shield of New MexicoSource: Substrate payer directory · data last changed
Operating statesNMSource: Substrate payer directory · data last changed
837P professional claims payer IDStedi00790Source: Stedi payer catalog · catalog dated · matched by payer ID
837I institutional claims payer IDStedi00790Source: Stedi payer catalog · catalog dated · matched by payer ID
835 ERA payer IDStedi00790Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDStedi00790Source: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDAvailityG00790GNMMD1Source: Availity payer catalog · catalog dated · matched by payer name
276 claim status payer IDStedi00790Source: Stedi payer catalog · catalog dated · matched by payer ID
276 claim status payer IDAvailityG00790GNMMD1Source: Availity payer catalog · catalog dated · matched by payer name

Routing sources and verification

  • Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
  • Stedi payer catalogMatched by payer ID; matched record: Blue Cross and Blue Shield of New Mexico. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
  • Availity payer catalogMatched by payer name; matched records: BCBS NEW MEXICO, BLUE CROSS COMMUNITY CENTENNIAL. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
  • United Clearinghouse payer catalogMatched by payer name; matched record: Blue Cross and Blue Shield of New Mexico. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗

Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.

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
Blue Cross and Blue Shield of New Mexico phone numbers
Channel and numberPayer NotesDepartmentSpecialties
phone(800) 325-8334Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Customer Service
Hospital, Hospital - Inpatient
phone(800) 451-0287Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CUSTOMER SERVICE
  • Customer Service
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) 638-3120Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Spectera
Vision (Optometry)
phone(800) 676-2583Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • ARKANSAS BLUE CROSS BLUE SHIELD
  • BCBSNM
  • BLUE CROSS AND BLUE SHIELD OF NEW MEXICO
  • G00790
Health Benefit Plan Coverage
phone(800) 877-7195Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • VSP
Vision (Optometry)
phone(800) 972-8088Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CUSTOMER SERVICE
phone(800) 999-5431Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DAVIS VISION
  • Davis Vision
Vision (Optometry)
phone(877) 393-2393Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Davis Vision
Vision (Optometry)
phone(888) 349-3706Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CUSTOMER SERVICE
  • Customer Service
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) 470-6244Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(888) 235-4713Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(855) 339-8558Behavioral healthBenefit context: Active Coverage
  • LUCET
Mental Health
phone(800) 424-8270Other stated contextBenefit context: Coverage Basis
  • PRIME THERAPEUTICS
phone(800) 452-8507Other stated contextBenefit context: Active Coverage
  • HIGHMARK MEDICAL MANAGEMENT & POLICY
Hospital
phone(800) 476-0677Other stated contextBenefit context: Non-Covered
  • SOUTHLAND NATIONAL INSURANCE CORP
Vision (Optometry)
phone(800) 541-6652Other stated contextBenefit context: Co-Insurance
  • BLUE SHIELD OF CALIFORNIA
Hospital
phone(800) 920-2485Other stated contextBenefit context: Active Coverage
  • EXCELLUS BLUE CROSS BLUE SHIELD
Health Benefit Plan Coverage
phone(833) 447-4397Other stated contextBenefit context: Coverage Basis
  • REACH KIDNEY CARE
phone(833) 462-0104Other stated contextBenefit context: Limitations
  • AMERICAN HEALTH HOLDING
Hospital, Hospital - Inpatient
phone(833) 798-6733Other stated contextBenefit context: Coverage Basis
  • BCBSAL
phone(855) 343-4851Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Hospital, Hospital - Inpatient
phone(866) 803-8002Other stated contextBenefit context: Coverage Basis
  • CARELON MEDICAL BENEFITS MANAGEMENT
  • EVICORE HEALTHCARE
phone(800) 327-6716
  • BLUE CROSS AND BLUE SHIELD OF NEW MEXICO
phone(800) 727-2227
  • BLUE CROSS AND BLUE SHIELD OF NEW MEXICO
phone(844) 465-5227
  • SKAI BLUE CROSS BLUE SHIELD

Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.

Fax numbers6
Blue Cross and Blue Shield of New Mexico fax numbers
Channel and numberPayer NotesDepartmentSpecialties
fax(833) 453-0101Other stated contextBenefit context: Coverage Basis
  • REACH KIDNEY CARE
fax(844) 295-4637Other stated contextBenefit context: Co-Insurance
  • BLUE SHIELD OF CALIFORNIA
Hospital
fax(877) 665-5542Other stated contextBenefit context: Limitations
  • AMERICAN HEALTH HOLDING
Hospital, Hospital - Inpatient
fax(501) 378-2562
  • ARKANSAS BLUE CROSS BLUE SHIELD
fax(501) 379-1200
  • SKAI BLUE CROSS BLUE SHIELD
fax(888) 282-1321
  • BLUE CROSS AND BLUE SHIELD OF NEW MEXICO

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

Not affiliated with Blue Cross and Blue Shield of New Mexico or BCBSA.

Confirm routing with your clearinghouse. Report an error

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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