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New Mexico Behavioral-Health Billing Checklist

A Practical Pre-Submission Review for Medicaid, IOP, CCSS, and Behavioral-Health Claims. Contains no PHI — just common pre-submission review points that can help identify avoidable claim problems.

What it covers

  • Correct patient insurance and payer
  • Medicaid eligibility
  • Correct service code
  • Units and documented duration
  • Place of service (POS)
  • Telehealth modifier when applicable
  • Group modifier when applicable
  • Rendering provider
  • Group NPI
  • Provider enrollment
  • MCO roster activation
  • Authorization status
  • Diagnosis and treatment-plan alignment
  • Duplicate claim risk
  • Same-day service and bundling risk
  • ERA and denial follow-up
  • Timely filing monitoring

Free checklist

Please do not submit PHI, patient names, member IDs, claim numbers, diagnoses, medical record numbers, authorization numbers, or other sensitive patient information through this form.

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