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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

View our formularies for all plans and learn more about our pharmacy programs here.

Find provider-specific pharmacy information here.

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