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.
Turquoise Claims
READY. SET. BILL!
It’s here! Turquoise Claims — New Mexico’s new claims management system — is officially live at YES.NM.GOV, replacing the NM Medicaid Provider Web Portal and OmniCaid.
Need help getting set up?
Detailed login and account set up instructions are available in the Turquoise Claims System Login and Account Set Up User Guide, which includes step-by-step guidance on:
- Creating an account in YES.NM.GOV
- Registering an organization in the Turquoise Claims system
- Adding new users and assigning roles
If you experience issues logging in, please refer to this Turquoise Claims Login Troubleshooting Guide.
Additional system user guides:
Turquoise Claims Introduction and Navigation User Guide
Turquoise Claims – Verifying Member Eligibility User Guide
Turquoise Claims – Templates User Guide
Turquoise Claims – Institutional Claims User Guide
It’s not too late to complete your training!
To help you prepare, we’re offering both live, instructor-led training sessions and self-paced, computer-based training. For more information and sign-up instructions, click here: Turquoise Claims Launches March 23 – Sign Up for Training Today!
NM Provider Training Schedule March-April 2026 PDF
One Piece of a Larger Project to Update Medicaid Systems
Turquoise Claims is just one piece of a large project to update every aspect of the New Medi-caid enterprise system. This module streamlines our ability to manage and oversee all claims processing, improve efficiency, and increase accuracy of billing and payments to comply with federal guidelines.
Turquoise Claims adds new features, including:
- Custom templates for routine services, managed by your organization, to match your billing needs.
- A user-friendly portal with user security levels for inquiries and claims submissions by employees within an organization.
- Real-time claim status inquiry and member eligibility inquiry to ensure easy access to the latest information.
Helpful Resources
Turquoise Claims Frequently Asked Questions PDF
Accessing the Learning Management System (LMS) PDF
YesNM Account Creation Instructions PDF
Turquoise Claims – Verifying Eligibility
Turquoise Claims Live Demo Power Point Presentation
Turquoise Claims Live Demo Recorded Session
Medicare Crossover Claim Job Aid
Common Sign In Issues and Solutions Guide
Prior Communications You May Have Missed
Turquoise Claims – Sign up for Office Hours
Turquoise Claims – Important Transition Information
Turquoise Claims Launches March 23 – Sign Up for Training Today!
Turquoise Claims – RSVP for a Live Demo Today!
What to Expect as We Transition to Turquoise Claims