March 18, 2022
We will be making changes to how misdirected claims are handled for Federal Employee Program® (FEP®) members.
Claims for FEP members should be filed with the Local Plan where services are rendered.
Currently, some FEP claims are mistakenly submitted to the member’s Home Plan rather than the Local (Host) Plan where services were rendered. In these cases, Blue Cross and Blue Shield of New Mexico (BCBSNM) has manually forwarded the claims to the Host Plan.
What’s Changing:
Effective 06/15/2022, we will no longer forward misdirected claims for FEP members to the Host Plan for processing. We will deny these and instruct you to resubmit the claims to the appropriate Local Plan where the service was rendered.
More information:
Learn more about the submitting FEP Claims.