Common Provider
Preguntas frecuentes

Provider forms and their descriptions can be found in the Education and Reference/Forms section.

Visite How to join the BCBSNM provider networks where you can find out how to request a provider record, applications to join the network and the credentialing process.

Complete the Update Your Contact Information form.

Visite ICD-10 in the Standards and Requirements section where you will find important timelines and requirements, frequently asked questions, webinar schedules, contact information and more.

Visite nuestra página Clear Claim Connection* (C3) web page for more information about the tool and how to attend a webinar.

Complete the Electronic Funds Transfer Agreement .

Consulte la sección ERA/EFT/EPS FAQs  for answers about electronic claims filing.

Visite Comuníquese con nosotros on the Provider homepage.

Non-contracted providers can use the Request to Establish or Revise a Non-Contracted Facility Record o la Request to Establish or Revise a Non-Contracted Provider Record  located in the Forms section of the Education and Reference Center.

Contracted or non-contracted providers can use the Update Your Contact Information form.

Note: Please allow up to 30 days for changes to take place.

1. Envíe su solicitud en línea **

2. Apply by mail. Call or email the NPI Enumerator to request an application form. Send the completed application to:

NPI Enumerator
P.O. 6059
Fargo, ND 58108-6059

3. Apply by third party. With your permission, an organization may submit your application in an electronic file. This could mean that a professional association or perhaps a health care provider who is your employer could submit an electronic file containing your information and the information of other health care providers.

Type 1 – Individual

Type 2 – Organizational

Información de contacto

For questions about processing an NPI application, call:

1-800-465-3203
1-800-692-2326 (TTY)

Always include the following information on your claims:

• Member's three-letter alpha prefix and the identification number (e.g. YIF1234567)
• Policy group number
• Onset date
• Physician's and/or supplier's name, address, telephone number
• Physician's and/or supplier's NPI

Ver Tips for Preventing Claim Delays 

Refer to our autorización previa para servicios de salud page for preauthorization and predetermination requirements.

Visite Interactive Voice Response System in the Claims and Eligibility section. There you will find:

• IVR available hours
• NPI guidelines
• IVR claims, eligibility and preauthorization caller guides

Resources, forms, contact information, and more, can be found in the Network Participation section.