CommercialAdministrativeMedium impact
Provide Records to Support Quality Care for Commercial Members
BCBS New Mexico·NM · Family Medicine, Internal Medicine, Pediatrics +3 more·General
Effective date
Feb 1, 2026
We identified it
Jun 18, 2026
Summary
Blue Cross Blue Shield of New Mexico will collect medical records from providers from February through April 2026 for HEDIS quality measures. Providers must supply requested medical records within 5 business days at no cost to BCBS as a contractual requirement.
Action Required
February-April 2026: When contacted by BCBS New Mexico (via fax, phone, or email), providers must supply requested medical records within 5 business days at no cost. Contact the representative at 505-816-5118 to set up remote EMR access or schedule on-site record retrieval. Records needed include 2025 data for high blood pressure control, diabetes care, weight assessment for children/adolescents, and 2024-2025 data for prenatal/postpartum care. Failure to provide records violates contractual requirements.