MedicaidAdministrativeHigh impact
Review Updated Claims Processing Information for Turquoise Care
BCBS New Mexico·NM·Reimbursement
Effective date
Mar 23, 2026
We identified it
Jun 18, 2026
Summary
New Mexico Health Care Authority launched Turquoise Claims on March 23, 2026, replacing Omnicaid and the New Mexico Medicaid Portal for processing Turquoise Care claims. Providers must now use appropriate taxonomy codes for billing, rendering, and attending providers' NPIs according to the HCA Provider Matrix, with specific placement requirements for electronic and paper claims.
Action Required
By June 15, 2026: Billing team must review the MCO Turquoise Claims Manual and HCA Provider Matrix to ensure appropriate taxonomy codes are being used for all billing, rendering, and attending providers on Turquoise Care claims. Update electronic claim submissions to place taxonomy codes in specified loop segments (837I: billing in 2000A PRV03, attending in 2310A PRV03; 837P: billing in 2000A PRV03, rendering in 2310B PRV03). Update paper claim templates to include taxonomy codes with qualifiers (UB04: billing in field 81 with BI qualifier, attending in field 76 with AT qualifier; CMS-1500: billing in field 33b with BI qualifier, rendering in field 24I with PE qualifier). Failure to report appropriate taxonomy codes will result in claim rejections or denials starting June 15, 2026.