New Mexico Medicaid: State changes to the claims process
AI Summary
New Mexico Medicaid is launching a new claims management system called Turquoise Claims, requiring providers to switch from payer ID 87726 to payer ID 87748 for UnitedHealthcare Community Plan of New Mexico on the launch date. Claims submitted with the incorrect payer ID will be denied and require resubmission.
Action Required
Before the Turquoise Claims launch date (to be announced): Billing team must contact clearinghouse to add payer ID 87748 to EDI transactions. Continue using payer ID 87726 until launch date, then immediately switch to payer ID 87748 for all UnitedHealthcare Community Plan of New Mexico claims. Monitor for state notification of exact launch date. Claims with incorrect payer ID will be denied and require corrected claim submission.
Plan Types
Medicaid
States
NM
Specialties
all-specialties