Claims Reference and Correct Coding Guides
The claims tools and reference materials below are designed to support providers in remaining up to date on current claims payment and coding guidance and regulations.
The New Mexico Health Care Authority (HCA) has prepared the following resources and reference guides to assist providers with navigating provider rates, formularies and taxonomy codes.
New Mexico Medicaid Provider Types and Taxonomy Codes Reference Guide
Providers who have multiple provider types associated with their National Provider Identifier (NPI) number are required to submit claims using the correct taxonomy code that corresponds with the specific provider type for the services that they are billing. Providers may use this reference guide to view the taxonomy codes that the HCA assigned to each provider type.
New Mexico Medicaid Provider Types and Taxonomy Codes Reference Guide
Rate and Formulary Reference Files
HCA reference guides that validate Place of Service (POS), procedure and revenue codes based on claim types.
New Mexico Medicaid Provider Place of Service by Procedure Code
New Mexico Medicaid Procedure Claim Types and Provider Types Allowed
New Mexico Medicaid Procedure Code Formulary
