Turquoise Claims Coming March 23
The New Mexico Health Care Authority (HCA) will launch Turquoise Claims, a single-point-of-entry process for Medicaid claims, on March 23, 2026. Providers will need to ensure they make changes to their Medicaid claims submission processes to avoid claim delays or denials.
To give providers adequate time to work with their clearinghouses and internal systems during the transition to Turquoise Claims, HCA and the Turquoise Care Managed Care Organizations have established a short-term transition period. During this time, all Medicaid claims (managed care and fee-for-service) using legacy payor IDs will continue to be accepted.
What’s Changing
March 23, 2026: HCA will go live with the Turquoise Claims single-point-of-entry process. Learn more and sign up for HCA trainings
March 13, 2026: Presbyterian will stop creating secondary claims for dual‑coverage members. Providers will need to submit both primary and secondary claims
Presbyterian has built a direct connection to the single-point-of-entry through the PROVIDERConnect Provider Portal via Fast Claim
How to Ensure Accurate Claim Payment
To make sure that you’re ready for Turquoise Claims, include the following on all Medicaid claims:
Presbyterian Payor ID (Segment GS03): 77048 (for PROVIDERConnect or approved clearinghouses)
Loop 2010BB (Segment NM109): NMPHP (for approved clearinghouses)
Member Information: Verify that last name/date of birth match the HCA member portal
Note: If you use an alternative clearinghouse, it is important that you contact them to provide the information above and ensure they have established a connection with Conduent and are ready to route your Medicaid claims appropriately.
Questions?
Presbyterian has established a dedicated Turquoise Claims provider line to answer your questions: (505) 923-7062 or 1-855-275-7737.
