PROVIDERS

The Health Care Authority’s mission is: We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.

Third Party Liability (TPL)

In some cases, Medicaid is the payer of last resort. Third party payers, such as group health insurance, auto liability insurance, worker’s compensation, court-ordered health coverage, Medicare, etc., will pay first to the limit of their legal liability and then Medicaid will consider the claim for payment.

If you would like to report and/or update the TPL information on file with New Mexico Medicaid, please use the following contact information listed directly below:

For Clients: Call 1-800-283-4465
For Providers: Call 1-800-299-7304 or email at nm.providers@hca.nm.gov.

Topic	Adobe
Reconsideration Request Form	PDF Format
Tab Run-Cost Audit Request Form	PDF Format
AuthentiCare IVR Insruction	PDF Format
Instrucciones de respuesta de voz interactiva (IVR) De AuthentiCare	PDF Format

Adjustments,Voids, and Inquiries
The following publications contain detailed instructions for filling out the Adjustment/Void Request Form (AVR) and the claim inquiry form.

Topic	Adobe
Adjustment or Void Request Form	PDF Format
Authenticare Adjustment or Void Request Form	PDF Format