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BCBS of New Mexico: How do I register as an out-of-network practitioner? Print

Modified on: Fri, 7 Jul, 2023 at 4:07 PM


  1. Download and complete the Request to Establish or Revise a Non-Contracted Provider Record 

    

  1. Fax the form to: (505) 816-2688 or 1-866-290-7718

Or mail to:

ATTN: Network Services

P.O. Box 27630

Albuquerque, NM 87125-7630


        Please allow up to 90 days for completion of this process.


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