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Health care providers can use this form to connect with Blue Cross and Blue Shield of New Mexico. Ask about plan benefits (e.g., medical care, formulary, etc.), eligibility, billing, claims, becoming a provider with BCBSNM and more. Complete the form below and a representative will get back with you.

First Name^*

Last Name^*

Medical Practice / Facility Name

Email Address^*

Phone^*

NPI Number

Provider Tax ID

Comments / Questions

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