New Mexico Medical

Medicare of New Mexico      

  • Direct- Trailblazers
  • Needs to be entered in Claimstaker
  • Vendor Submitter ID: CH00037
  • Payer ID – 04202
  • Only need pages 1-8
  • Mail to Trailblazers
  • Approval Time – 20 Business days upon receipt of the paperwork

Medicare Enrollment Form

ERA Enrollment Form

Medicaid of New Mexico    

  • Emdeon Link
  • No Enrollment Form
  • Needs to be entered into GEMS
  • Payer ID – SKNM0

 

BCBS of New Mexico      

  • Emdeon Link
  • No Enrollment Form
  • Needs to be entered into GEMS
  • Payer ID – SB790

 

National Payers Requiring Enrollment

  • Railroad Medicare
  • DMERC (Region C)
  • ASHN

National Enrollment Forms