Streamlining the flow of healthcare information
LINKS
USER ADMINISTRATION
PRIOR AUTHORIZATION
Reports
Request Forms
The following links display that health plan prior authroization request forms that are mapped in the HealthXnet system. The dates listed show when this form was last updated in the HealthXnet system.
- Blue Cross Blue Shield of New Mexico - Rev 7/21/17
- Molina Healthcare of New Mexico - Rev 7/21/17
- New Mexico Medicaid (MCOs) - Rev 7/21/17
- New Mexico Health Connections - Rev 7/21/17 - new version currently being mapped
- Presbyterian Health Plan - Rev 7/21/17
- UnitedHealthcare NM Centennial Care - Rev 7/21/17