Coverage profile
Work Medicaid 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 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Medicaid New Mexico.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicaid New Mexico.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Medicaid New Mexico.
Other aliases
Also known as
- 10247
- 12K22
- 77048
- CKNM1
- CNTNM
- NM
- NMMCD
- SKNM0
- New Mexico Health Care Authority
- New Mexico Medicaid
- Turquoise Claims
- NMMEDICAID
- NM_MCAID
- BCBSNM
2027 maternity billing research
When does Medicaid New Mexico change OB/GYN billing?
Effective January 1, 2027, global maternity codes are eliminated and replaced with an unbundled phase-based structure. A delivery prior to January 1, 2027 stays on current guidelines. A first 10-week visit between May 15, 2026 and July 14, 2026 uses 59426 plus delivery only. A first 10-week visit between July 15, 2026 and August 30, 2026 uses 59425 plus delivery only.
- Transition start
- Not stated in the approved quotes
- Billing start
- 2027-01-01
- Published
- 2026-05-27
- Current As Of
- October 2026
Scope: New Mexico Medicaid.
Unbundling Global Maternity Services. Verify the payer source before claim submission.
Frequently asked questions
Medicaid New Mexico payer FAQs
How do I check claim status with Medicaid New Mexico?
Providers check Medicaid New Mexico via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Medicaid New Mexico portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
What is the payer ID for Medicaid New Mexico?
The primary payer ID for Medicaid New Mexico is 77048. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What is the provider portal for Medicaid New Mexico?
The provider portal for Medicaid New Mexico is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Medicaid New Mexico?
The 837P and 837I payer ID for Medicaid New Mexico is 77048 via Stedi.
What is the 835 payer ID for Medicaid New Mexico?
The 835 payer ID for Medicaid New Mexico is 77048 via Stedi.
What is the 270 payer ID for Medicaid New Mexico?
The 270 payer IDs for Medicaid New Mexico are 77048 via Stedi and NM via Availity.
What is the 276 payer ID for Medicaid New Mexico?
The 276 payer IDs for Medicaid New Mexico are 77048 via Stedi and NM via Availity.
What state does Medicaid New Mexico operate in?
Medicaid New Mexico operates in NM.
Routing reference
Medicaid 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.
| Payer name | Medicaid New MexicoSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | NMSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | 77048Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 77048Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 77048Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 77048Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | NMSource: Availity payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDStedi | 77048Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | NMSource: 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: Medicaid 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 record: MEDICAID NEW MEXICO. 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: Medicaid 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.
Payer contact directory
Medicaid New Mexico phone and fax numbers
Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.
- Dental phone
- (877) 842-3210UNITED HEALTHCARE
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(877) 842-3210 | DentalBenefit context: Other or Additional Payor |
| Dental Care |
Phone and fax numbers sourced directly from the payer response