Updates Made to the Blue Cross Medicare Advantage Provider Reference Manual 

The Blue Cross Medicare Advantage Provider Reference Manual (PRM) has been updated as part of an annual review, effective January 27, 2023. Changes to the PRM include, but are not limited to, the following sections:

  • 1 — Overview
  • 2 — General Information
  • 3 — Claims
  • 6 — Performance and Compliance Standards
  • 7 — Utilization Management
  • 10 — Quality Improvement

The updated PRM is available on the Provider Reference Manual webpage . BCBSNM reminds providers to review the PRM for all changes.