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:

Tricia MacLaughlin 
Sr. Provider Relations - Network Services
BlueCross BlueShield of New Mexico 
5701 Balloon Fiesta Parkway NE
Albuquerque, NM  87113
Phone: 505-816-4255 
Email 

EFT

FAQ

Availity EFT Enrollment Tip Guide


Cigna


First Health (a subsidiary of Aetna)


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


Contigo Health/ConfigureNet (formerly Three Rivers Network PPO)


Tricare-West administered by Health Net Federal Services

Provider Handbook

Provider Forms

Provider Portal Log In


United Health Plan


Western Sky Community Care

Plans Homepage

Provider Portal

Provider Manual, Forms & Resources

Provider Representative:

Ms. Jaime Apodaca
Provider Relations Representative II
8801 Horizon Blvd NE
Albuquerque, NM 87113
Cell 505-525-0273
Email