Health Insurance Plans

The Los Alamos PHO and this website's intended use is to assist Medical and Behavioral Health providers enroll with the insurance companies listed on this page.  Providers choose which plans they want to participate in and may not be enrolled with all of the insurance companies listed below. 

Therefore, all patients need to check with their provider to verify that they participate with the patient's insurance plan.

 


America's Choice


Blue Cross/Blue Shield

Application

Provider Manual

Availity Log In

Demographic Updates

Provider Representative:

Jessica Taylor 
Provider Representative - Network Services
BlueCross BlueShield of NM 
5701 Balloon Fiesta Parkway NE
Albuquerque, NM  87113
Phone: (505) 816-4042
Email 

EFT

FAQ

Authorization Agreement


Cigna


First Health/Coventry Health


Friday Health Plans

Plans Home Page

Provider Portal

Provider Manual

Johnsie Wallace Gault, MSPH
Senior Contracting and Provider Relations Manager – New Mexico 
Mobile: 901-857-6611
Email


Government Employees Health (GEHA & PPO USA)


Humana


Molina

Application Forms (other documents are also required):

Provider Information Form

Attestation

Provider Manual

Provider Portal Quick Reference Guide

Provider Portal


MultiPlan

Also administering

Beech Street

Private Healthcare Systems


Presbyterian

Provider Resources and Handbook

Provider Portal


Magellan (for Behavioral Health providers)

Application

Provider Handbook & Supplements


Three Rivers Provider Network


Tricare-West administered by Health Net Federal Services

Provider Handbook

Provider Forms

Provider Portal Log In


True Health New Mexico

Provider Handbook

Provider Information and Portal

Provider Representative:

Brenda Chavez
Provider Network Relations Specialist
2440 Louisiana Blvd NE, Suite 601
Albuquerque, NM 87110
Direct line: 505.492.2073
Fax: 800.504.6545
Toll Free: 855.769.6642
Email: bchavez@truehealthnewmexico.com


United Health Plan


Western Sky Community Care

Plans Homepage

Provider Portal

Provider Manual, Forms & Resources

Provider Representative:

Tanya R. Sanchez
Provider Relations Specialist II 
5300 Homestead Rd NE
Albuquerque, NM 87110
Direct 505-886-6343
Cell 575-447-7287
Toll-Free: 1-844-738-5019 X 8095143
Fax: 1-833-597-0428
Email: Tanya.Sanchez@WesternSkyCommunityCare.com