Access comprehensive claims resources designed to support providers, including correct coding submission guidelines, electronic claims tools, contracted clearinghouse information and more.
Turquoise Claims
The New Mexico Health Care Authority (HCA) launched Turquoise Claims, a single-point-of-entry process for Medicaid claims, on March 23, 2026. Providers need to ensure they make changes to their Medicaid claims submission processes to avoid claim delays or denials.
Claims Reference and Correct Coding Guides
View helpful claims reference and coding resources such as Correct Coding Medical Review Guides, New Mexico Medicaid Provider Type Taxonomy Guides, Medicaid enrollment guidelines and more. These tools are designed to support providers in remaining up to date on current claims guidance and regulations.
Claims Payment and Submission
Claims payment and submission information supporting provider billing workflows. View for important guidance on electronic claims, e‑payments, recovery of overpayments, required claims forms and more.
Contracted Clearinghouses
Presbyterian and its behavioral health partner, Magellan, contract with several external Electronic Data Interchange (EDI) clearinghouses. These clearinghouses act as a third party between providers and Presbyterian and/or Magellan for processing claims.
