Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Blue Cross and Blue Shield of New Mexico. Before sending anything sensitive, confirm the number and receiving department directly with Blue Cross and Blue Shield of New Mexico, and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.

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Blue Cross and Blue Shield of New Mexico fax number

(866) 290-7718

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Network Services

Used for: Request to Establish or Revise a Non-Contracted Facility Record

Fax destination details

Department
Network Services
Purpose
Request to Establish or Revise a Non-Contracted Facility Record
Form
Non-Contracted Facility Record Form — Request to Establish or Revise a Non-Contracted Facility Record
Address
Blue Cross and Blue Shield of New Mexico, P.O. Box 660058, ATTN: Network Services, Dallas, TX 75266-0058
Voice phone
(505) 837-8800

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Complete the entire form; provide facility name, address, tax ID, TIN/EIN, and NPI as applicable. Attach IRS 147C and W-9 as needed. If adding multiple locations, attach a separate sheet. Mail to Blue Cross and Blue Shield of New Mexico, P.O. Box 660058, ATTN: Network Services, Dallas, TX 75266-0058; or fax to (505) 816-2688 or 1-866-290-7718.

Official form instructions are published as a downloadable file on the organization's website.

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