Effective Aug. 2, 2023, Blue Cross and Blue Shield of New Mexico (BCBSNM) is changing the name of its long-standing Reporting On-Demand tool to Provider Claim Summary (PCS). The tool is still available in the BCBSNM-branded Payer Spaces section via Availity and allows users to readily view, download, save and/or print Provider Claim Summaries online. The tool also offers you the opportunity to obtain claim outcome results for multiple patients, in one central location.
As a reminder, PCS reports are available in this tool for claims processed after Dec. 1, 2016, and for Medicare Advantage claims processed after April 12, 2019.
Providers currently enrolled to receive the Electronic Remittance Advice (ERA) from BCBSNM will continue to receive the Electronic Payment Summary (EPS), but with the additional opportunity to access the PCS as a complimentary option. If you currently rely on paper claim summaries, Availity Essentials registration is strongly recommended to gain access to the PCS.
JOIN US FOR A WEBINAR
BCBSNM hosts instructor-led educational “Obtaining Provider Claim Summaries Online” webinars for you to learn more about the application. New and existing Availity Essentials users are highly encouraged to attend. To register for a complimentary training session, select your preferred date and time below.
- Aug. 3, 2023 – 12 p.m. to 1 p.m.
- Aug. 10, 2023 – 12 p.m. to 1 p.m.
- Aug. 17, 2023 – 12 p.m. to 1 p.m.
- Aug. 24, 2023 – 12 p.m. to 1 p.m.
- Aug. 31, 2023 – 12 p.m. to 1 p.m.
- Sept. 7, 2023 – 12 p.m. to 1 p.m.
- Sept. 14, 2023 – 12 p.m. to 1 p.m.
- Sept. 21, 2023 – 12 p.m. to 1 p.m.
- Sept. 28, 2023 – 12 p.m. to 1 p.m.
For more information, refer to the updated Provider Claim Summary page and user guide in the Tools section of our website. In addition to the Provider Claim Summary tool, BCBSNM supports an array of online tools that are available to registered Availity Essentials users at no additional cost. To register, simply go to Availity, select “Register,” and complete the online application today.
Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSNM. BCBSNM makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.