14.° de abril de 2020
In response to COVID-19 the iExchange deactivation planned for April 15, 2020, has been temporarily suspended to offer you an extension to convert to the Availity® Authorizations tool during this pandemic.
Given the iExchange extension is only temporary, you are still encouraged to transition and use the Availity Authorizations tool for electronic preauthorization submissions for inpatient admissions and select outpatient services handled by Blue Cross and Blue Shield of New Mexico (BCBSNM).
Recordatorios importantes
- Medical and surgical predetermination of benefits requests may be submitted via iExchange during this extension or by fax or mail by using the Predetermination Request Form.
- Check the patient's eligibility and benefits first to determine if preauthorization is required for the service and/or procedure code. For online assistance, refer to the General Eligibility and Benefits Expanded Tip Sheet.
- The process of submitting preauthorization requests through eviCore healthcare (eviCore) or other vendors has not changed.
- If you haven’t registered with Availity, you can sign up for free on the Sitio web de Availity
. For help, contact Availity Client Services at 800-282-4548.
Para Más Información
Refer to the educational Availity Authorizations User Guide located under the Provider Tools section of our website.
BCBSNM is offering additional weekly webinars for you to learn more about the Availity Authorizations tool. Visite nuestra página Training page to register for upcoming session. If you need further assistance or customized training, contact our Provider Education Consultants.
Please note that the fact that a service has been preauthorized/pre-notified is not a guarantee of payment. Los beneficios se determinarán una vez que se reciba el reclamo y se basarán, entre otras cosas, en la elegibilidad del asegurado y los términos del certificado de asegurado de la cobertura aplicable en la fecha en la que se prestaron los servicios. If you have any questions, call the number on the member's ID card.
Availity es una marca registrada de Availity, LLC, una compañía aparte que opera una red de información de salud para prestar servicios de intercambio de información electrónica a profesionales médicos. Availity provides administrative services to BCBSNM. iExchange is a trademark of Medecision, Inc., a separate company that provides collaborative health care management solutions for payers and providers. eviCore is an independent specialty medical benefits management company that provides utilization management services for BCBSNM. eviCore is wholly responsible for its own products and services. BCBSNM makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity, eviCore or Medecision. Si tiene alguna pregunta acerca de los productos o servicios ofrecidos por estos proveedores, debe comunicarse con el proveedor directamente.