Providers / Physicians
Provider Portal:*
*Please use Google Chrome to access the portal.
Log in to:
Check Eligibility
View Claims Data
Submit Prior Authorizations
Information for Providers
Scroll down the page to view all of our provider resources and information.
Important Provider Notices: Please Read
- Effective December 1, 2022, Availity will be our electronic data interchange (EDI) vendor for electronic claims. Learn more.
- Read the notice regarding True Health New Mexico plans in 2023.
- Provider contracts will remain in effect through June 2023. Learn more.
Is Your Provider Information Current?
Learn how and why you need to ensure your information is current with us here.
Provider Forms and Resources
Download forms you need to serve our members, find healthcare resources and tools, and more here.
Provider Handbook
We update our Provider Handbook throughout the year.
Prior Authorization Requests
Learn how to submit prior authorization requests and which services require prior authorization here.
Provider Reimbursement Policy
Learn the details about how we reimburse our contracted providers here.
Pharmacy/Formulary Information for Members and Providers
Information for Non-Contracted Providers
Non-contracted providers can find resources and information here.
Contracting with Us
Providers, please note that we are no longer contracting with new providers due to the discontinuation of our plans. The only contracting activity we are engaging in now is with existing provider groups.
If your organization has an active Provider Agreement with True Health New Mexico and needs to add new locations, tax IDs, etc., please contact Provider Services at provider.services@truehealthnewmexico.com to discuss your request.
Provider Services Contacts
| Provider Services | provider.services@truehealthnewmexico.com or 1-844-508-4677 |
| Credentialing | credentialing@truehealthnewmexico.com |