Our acquisition of Cigna Healthcare’s Medicare Advantage, Supplemental Benefits, Medicare Part D and CareAllies businesses is now complete. Check the following FAQs for more information.
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Provider FAQs – Acquisition of Cigna Healthcare’s Medicare and CareAllies Businesses
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General
Q. Are BCBSNM Medicare Advantage members’ or Cigna Healthcare Medicare Advantage customers’ plan benefits changing?
A: Members’ and customers’ plan benefits selected during the annual enrollment period for 2025 will not change in 2025. People who purchased Cigna Healthcare or BCBSNM plans during open enrollment will remain enrolled in and covered by the BCBSNM or Cigna Healthcare Medicare Advantage plan they selected for the duration of the 2025 plan year.
Q: Although plan benefits remain the same, will anything else change for 2025?
A: Both companies regularly update their business processes and technology. If these types of regular operational updates take place, we will keep you informed of any changes impacting you or your business. Please regularly read News and Updates and Blue Review℠ for the latest news from BCBSNM. If you are not subscribed to Blue Review, sign up here. It will be delivered monthly to your email.
Q: What will happen in 2026?
A: We will keep you posted on any changes impacting the 2026 plan year. Please regularly read News & Updates and Blue Review for the latest information. If you are not subscribed to Blue Review, sign up here. It will be delivered monthly to your email.
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Information Sources
Q: Where do I go for information about caring for these customers and members?
A: For Cigna Healthcare Medicare Advantage customers, go to the Cigna Healthcare Medicare Advantage provider website. For BCBSNM members, go to the BCBSNM website. For the latest information, please regularly read News and Updates and Blue Review for the updates from BCBSNM. For Cigna Healthcare Medicare Advantage updates, see their provider newsroom.
Q: What if I have questions about a member’s or customer’s care?
A: If you have questions, please call the number on the member’s or customer’s ID card.
Q: Whom do I call for help?
A: Provider network contacts for Cigna Healthcare Medicare Advantage and BCBSNM will remain the same for 2025. For BCBSNM contacts, see our Contact Us page. For Cigna Healthcare Medicare Advantage, contact your aligned provider relations representative or Cigna Healthcare Medicare Advantage Provider Customer Service at 800.230.6138. We will provide information about 2026 at the appropriate time.
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Behavioral Health
Q: I’m a behavioral health provider contracted with Evernorth Behavioral Health and provide care to Cigna Healthcare Medicare Advantage customers. Will my network or processes change as a result of this transaction?
A: You will remain in the Evernorth network. Follow your normal processes for caring for Cigna Healthcare Medicare Advantage members.
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Processes
Q: How do I know which processes to follow for Cigna Healthcare Medicare Advantage customers and BCBSNM members?
A: When providing services to Cigna Healthcare Medicare Advantage customers and BCBSNM members:
- Ask to see the customer or member ID card before all appointments
- Check eligibility and benefits before all appointments
- Follow utilization management review requirements and guidelines
- Follow the billing instructions on the customer or member ID card
Q: Since BCBSNM Medicare business and Cigna Healthcare’s Medicare Advantage businesses joined, which medical policies, prior authorization and billing processes do I follow?A: You should not expect any changes to processes related to medical policies, prior authorization or billing processes as a result of the transaction. For BCBSNM members, follow current BCBSNM processes for providing and billing for care. For Cigna Healthcare Medicare Advantage customers, follow current Cigna Healthcare Medicare Advantage processes for providing and billing for care.
Q: Which provider manuals should I follow?
A: Follow BCBSNM provider manuals when caring for BCBSNM members. Follow Cigna Healthcare Medicare Advantage provider manuals when caring for Cigna Healthcare Medicare Advantage
Q: Where do I submit claims?
A: Follow Cigna Healthcare Medicare Advantage claims submission processes for Cigna Healthcare Medicare Advantage customers and BCBSNM claims submission processes for BCBSNM members throughout 2025. We will provide you with information for 2026 at the appropriate time.
Q: Cigna Healthcare Medicare Advantage has a provider portal and BCBSNM uses Availity® Essentials. Will I need to get an Availity account?
A: Use the current Cigna Healthcare Medicare Advantage provider portal when caring for Cigna Healthcare Medicare Advantage customers, and use Availity Essentials when caring for BCBSNM members. We will provide you with information for 2026 at the appropriate time.
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Payments
Q: Where will my payments come from, BCBSNM or Cigna Healthcare Medicare Advantage?
A: You will continue to bill and receive payment from each respective company as you do today.
Q: In 2025, will I be paid BCBSNM rates or Cigna Healthcare Medicare Advantage rates?
A: When caring for a BCBSNM member, you’ll receive BCBSNM contracted rates if you are in the member’s network. When caring for Cigna Healthcare Medicare Advantage customers, you’ll receive Cigna Healthcare Medicare Advantage contracted rates if you are in that network.
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Contracting
Q: I’m contracted with both Cigna Healthcare Medicare Advantage and BCBSNM. What do I do?
A: When caring for Cigna Healthcare Medicare Advantage customers, follow Cigna Healthcare Medicare Advantage processes. When caring for BCBSNM members, follow BCBSNM processes.
Q: I’m contracted with Cigna Healthcare Medicare Advantage but not BCBSNM. What do I do?
A: For 2025, follow your normal processes for caring for Cigna Healthcare Medicare Advantage customers. We will provide information about 2026 at the appropriate time.
Q: I’m contracted with BCBSNM but not Cigna Healthcare Medicare Advantage. What do I do?
A: For 2025, follow your normal processes for caring for BCBSNM members. We will provide information about 2026 at the appropriate time.
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Credentialing
Q: My credentialing is due for renewal in 2025. How do I get recredentialed?
A: For 2025, follow the BCBSNM or Cigna Healthcare Medicare Advantage credentialing process as applicable. We will provide information about 2026 at the appropriate time.