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  1. Carelon's ProviderPortal offers self-service, smart clinical algorithms and in many instances real-time determinations; Check prior authorization status on the Carelon ProviderPortal; Increase payment certainty; Faster pre-service decision turnaround times than post service reviews; Services requiring prior authorization through Carelon:

    • Turquoise Care

      As a Turquoise Care member, you have access to many...

    • Providers

      Take advantage of the suite of online offerings available to...

  2. Take advantage of the suite of online offerings available to you in the Availity Essentials portal, at no cost. Log In or Register

  3. Always check eligibility and benefits first, through the Availity ® Provider Portal or your preferred web vendor, prior to rendering services. This step will help you confirm coverage and other important details, such as prior authorization requirements and vendors, if applicable.

  4. As a Turquoise Care member, you have access to many providers in New Mexico. Our Provider Finder ® makes it easy to search for providers in your area. Learn about virtual care.

  5. Providers can use the New Mexico Medicaid Portal to find information about policy & billing, claims submission, client eligibility, financial issues, Medicare, provider enrollment, third party liability, remittance advices and more.

  6. 18 wrz 2024 · The New Mexico Web Portal extends the business capabilities of Medicaid program providers by offering user-friendly tools and resources electronically. Registered users may Log In to access the following interactive features of the portal: Claim Status Inquiry. Prior Authorization Inquiry. Eligibility Inquiry. Payment History Inquiry.

  7. Availity offers a suite of services via a single secure Web portal connection such as real-time and EDI batch transactions, including eligibility and benefits, claim status, claim submission, electronic remittance and authorizations and referrals.

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