March 2026 Top of Mind

New Mexico Medicaid: State changes to claims process and new payer ID

On March 23, New Mexico Medicaid will launch Turquoise Claims, a new claims system at YES New Mexico. Turquoise Claims will replace the current Medicaid claims management system (Omnicaid) and the New Mexico Medicaid Provider Web Portal. Providers who work with Turquoise Care/Medicaid members will need to use the new system starting on March 23.

New payer ID code

The payer ID code for UnitedHealthcare Community Plan of New Mexico and Optum Behavioral Health will also change when the state switches to the new Turquoise Claims system. We’ll send you a reminder of the change.

What you need to do

For a smooth transition and to avoid claim denials and delays, please follow these instructions:

• Contact your clearinghouse to add payer ID 87748 to your list of electronic data interchange (EDI) transactions
• When submitting claims, enter the following payer ID:
  • Between now and the system launch date, continue to use payer ID 87226
  • Beginning on March 23 when Turquoise Claims launches, use payer ID 87748

Note: Claims submitted with the incorrect payer ID code during these timelines will be denied and you'll need to submit a corrected claim.

No changes to claim submission processes

Besides using a different payer ID, there’s no change to the way you submit claims. You’ll follow the same process as usual, whether you file claims electronically using EDI, online through the Provider Express secure portal or by mail.

Sign up for training today

Two options are available: Instructor-led virtual training and self-paced training, whichever is easiest for you. Log in to your YES.NM.GOV account, then select the Learning Management System (LMS) link. Please note: If you have not created an account, follow these step-by-step instructions: Accessing the Learning Management System (LMS).

Need more info?

• Contact your clearinghouse if you have any questions about your EDI transactions
• For questions about the Turquoise Claims systems, email HCA-TurquoiseClaims@hca.nm.gov
• Go to Turquoise Claims for information updates, past communications and frequently asked questions
• Call Optum Behavioral Health using the number on the back of the member’s ID card