Get 601 401 4995

​When medical services are rendered to a Medicaid client in Texas, TMHP must receive claims within 95 days of the DOS on the claim. ​Re-enrolling providers who are assigned their previous enrollment information must submit claims so that they are received by TMHP within 95 days of the date of service.

Submit original denial and necessary supporting documentation. Providers must submit all claims and encounters within 180 calendar days of the date of service.

Income Support Division Offices are open, however we urge you to call our Customer Service Center for support at 1-800-283-4465 or use yes.nm.state.us to access information about your benefits before coming to the office.

amount the provider must resubmit the claim or an adjustment request within 90 calendar days of the date of the return, denial or payment of an incorrect amount, that was submitted in the initial timely filing period.

Correction or adjustment claims: 12months from the date of service or 60 days from the date of payment/denial/rejection of the original claim, whichever is later. COB: 12 months from the date of service or 12 months from the date Medicare made payment.

Services denied for failure to meet timely filing requirements are not subject to reimbursement unless the provider presents documentation proving a corrected claim was filed within the applicable filing limit. Corrected Claims must be sent within 365 calendar days of most recent adjudicated date of the Claim.

Medicaid Appeals You can contact the Human Services Department in any of the following ways: By phone: 1-800-283-4465. By text: 601-401-4995. By email: NM.Customers@state.nm.us.

Prior authorization is required for all inpatient services and select outpatient services. For an overview of the prior authorization process and requirements at BCBSNM, refer to Section 10 of the BCBSNM Provider Reference Manual.