Availity’s Attachments tool allows providers to quickly submit predetermination of benefits request online to Blue Cross Blue Shield of New Mexico (BCBSNM).
A predetermination of benefits is a voluntary request for written verification of benefits prior to rendering services. BCBSNM recommends submitting a predetermination of benefits request if the service may be considered experimental, investigational or unproven, as specified within the BCBSNM Medical Policy.
You must be registered with Availity to use the Attachments tool. You can sign up today at Availity 
, at no charge. For registration assistance, call Availity Client Services at 800-282-4548.
This information does not apply to requests for Medicare Advantage members.
How to access and use Availity Attachments
- Inicie sesión en Availity
- Select Claims & Payments from the navigation menu
- Select Attachments – New
- Within the tool, select Send Attachment then Predetermination Attachment
- Download, complete and save the Predetermination Request Form
- Complete the required data elements
- Upload the completed form and attach supporting documentation
- Select Send Attachment(s)
For additional details, refer to the Electronic Predetermination of Benefits User Guide.
¿Tiene preguntas?
Email our Provider Education Consultants. Be sure to include your name, direct contact information, Tax ID and/or billing National Provider Identifier (NPI).
Please note that the fact that a service has been preauthorized/pre-notified, that a guideline is available for any given treatment or that a service or treatment has been predetermined for benefits, 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 presta servicios administrativos a BCBSNM. BCBSNM makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity. Si tiene alguna pregunta acerca de los productos o servicios ofrecidos por estos proveedores, debe comunicarse con el proveedor directamente.