We use cookies to give users the best content and online experience. By clicking “Accept All Cookies”, you agree to allow us to use all cookies. Visit our Privacy Policy to learn more.

Manage Cookies
Resources for Businesses My BBB
Share
Business Profile

Health Insurance

Blue Cross and Blue Shield of New Mexico

This business is NOT BBB Accredited.

Find BBB Accredited Businesses in Health Insurance.

Complaints

This profile includes complaints for Blue Cross and Blue Shield of New Mexico's headquarters and its corporate-owned locations. To view all corporate locations, see

Find a Location

Blue Cross and Blue Shield of New Mexico has 2 locations, listed below.

*This company may be headquartered in or have additional locations in another country. Please click on the country abbreviation in the search box below to change to a different country location.

    Please enter a valid location.

    Customer Complaints Summary

    • 14 total complaints in the last 3 years.
    • 6 complaints closed in the last 12 months.

    If you've experienced an issue

    Submit a Complaint

    The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

    Sort by

    Complaint status

    Complaint type

    • Initial Complaint

      Date:01/16/2025

      Type:Order Issues
      Status:
      Answered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      My minor daughter and I no longer have insurance after we sent in our tax paperwork for last year showing that she is my dependent and I did file taxes. She needs to go to the doctor and all of a sudden we have no insurance.. we need insurance ASAP. That is the whole reason why I sent in all the paperwork, even though I never received anything at the house I neverreceived any paperwork from these people I was told by my supervisor what to do and we all did it.

      Business Response

      Date: 02/10/2025

      No SaF on File, BCBSIL will respond to the member directly

    • Initial Complaint

      Date:01/07/2025

      Type:Billing Issues
      Status:
      Answered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.

      Complaint: ********



      I am rejecting this response because:

      I have sent the HIPAA form to the patient for signature.  Without the involvement of BBB they will not assist and this wall fall through the cracks.  









      Regards,



      ******** ******

       

      [To assist us in bringing this matter to a close, the consumer must give a reason why they are rejecting the response. If the consumer does not provide a reason the complaint will be closed Answered]

      Business Response

      Date: 01/14/2025

      Thank you for your inquiry. We are reviewing the case and will reach out to the provider directly with a resolution.

    • Initial Complaint

      Date:12/18/2024

      Type:Billing Issues
      Status:
      Answered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.

      Good morning,

       

      Please find attached the information release form requested by BBB.

       

      Thank you!
      ****

      Business Response

      Date: 12/23/2024

      Please see the attached response for BBB# ********.

    • Initial Complaint

      Date:07/24/2024

      Type:Service or Repair Issues
      Status:
      Answered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      BCBS's letter to you stated they sent me a letter since it is protected information.  I have not received any letter from BCBS regarding this nor a phone call.   They are just ducking and dodging. 

      Business Response

      Date: 07/31/2024

      Please find the attached response 

      Business Response

      Date: 08/19/2024

      Please see the attached letter in response to the members additional information request. 

    • Initial Complaint

      Date:06/28/2024

      Type:Billing Issues
      Status:
      Answered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I went to an ER (ER at the Lakes) for a health issue (short 15 minute exam). There is a dispute over which code to use between the ER and BCBS of New Mexico. BCBS refuses to pay for the ER visit, even though that is covered by the health insurance I pay for them to cover.

      Business Response

      Date: 07/09/2024

      Due to the Protected Health Information
      involved in the response of this inquiry a letter will be sent directly to ********* ****. 

    • Initial Complaint

      Date:10/16/2023

      Type:Sales and Advertising Issues
      Status:
      Answered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      Blue Cross Blue Shield of New Mexico refuses to opt me out of their marketing and extraneous communications. I have requested through chats, on the phone and now in writing by US mail - at least 8 times this year to stop sharing my address with third party affiliates. I do not wish to receive surveys and offers to particiapte in various programs. I have explained that I wish only to receive my program documents, explanation of benefits and anything that changes my plans or benefits. Their response is that I have to opt out each time someone new sends me something. Sometimes that is in the US mail and i don't even know how to do that. I've told them that they are the ones sharing my address and email and to stop it. They refuse.

      Business Response

      Date: 10/24/2023

      October 24, 2023


      ***
      **** ********* ****** **
      ***** *
      ************ ** *****


      RE:      Record ID: *********
      Member/Provider/Inquirer: ****** ******
      File #: ********


      Dear Better Business Bureau:

      This letter is in response to Miriam Shanks’s inquiry,
      submitted to your office and received by Blue Cross and Blue Shield of New Mexico, a Division of Health Care
      Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of
      the Blue Cross and Blue Shield Association, on October 17, 2023.

      Due to the Protected Health Information involved in the
      response of this inquiry a letter will be sent directly to ****** ******.

      We strive to deliver excellent service and appreciate being
      made aware of instances in which improvement is possible. If you require
      additional information, please do not hesitate to contact us in the future.


      Sincerely,

      ***** ** *******

      Executive Inquiry Specialist
      Blue Cross and Blue Shield of New
      Mexico

    • Initial Complaint

      Date:08/04/2023

      Type:Billing Issues
      Status:
      Answered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.

      Complaint: ********



      I am rejecting this response because:



      BCBSNM has provided (via US mail) a form letter response that neither mentions nor addresses the issue.  The letter confirmed that I have coverage (something that I already knew and did not request confirmation thereof) and suggested the following resources for further assistance:

        -  Non BCBSNM entities (****************** and a related toll free phone number) that can't possibly address this issue which is BCBSNM specific.

        -  BCBSNM Member Services, which has previously refused to assist with this issue.

      At this point, I feel that BCBSNM has not actually examined in detail my original request.



      Regards,



      ****** *******

       

      [To assist us in bringing this matter to a close, the consumer must give a reason why they are rejecting the response. If the consumer does not provide a reason the complaint will be closed Answered]

      Business Response

      Date: 08/30/2023

      Please see the attached company's response

      This letter is in response to ****** *******’s inquiry, submitted to your office and
      received by Blue Cross and Blue Shield of New Mexico (BCBSNM), a Division of
      ****** **** ******* ***********, a Mutual Legal Reserve Company, an Independent
      Licensee of the Blue Cross and Blue Shield Association, on August 7, 2023

      Due to the Protected Health Information involved in the response of this inquiry a letter
      will be sent directly to ****** *******.

      We strive to deliver excellent service and appreciate being made aware of instances in
      which improvement is possible. If you require additional information please do not
      hesitate to contact us in the future.


      Sincerely,

      ******* ** ******

      Executive Inquiry Specialist
      Blue Cross and Blue Shield of New Mexico

      Business Response

      Date: 09/11/2023

      September 11, 2023
      RE: Record ID: *********
      Member Name: ****** *******
      File #: ********
      Dear BBB:
      This letter is in response to ****** *******’s inquiry, submitted to your office and
      received by Blue Cross and Blue Shield of New Mexico (BCBSNM), a Division of
      ****** **** ******* ***********, a Mutual Legal Reserve Company, an Independent
      Licensee of the Blue Cross and Blue Shield Association, on September 5, 2023.
      Due to the Protected Health Information involved in the response of this inquiry a letter
      will be sent directly to ****** *******.
      We strive to deliver excellent service and appreciate being made aware of instances in
      which improvement is possible. If you require additional information, please do not
      hesitate to contact us in the future.
      Sincerely,
      ***** ** *******
      Executive Inquiry Specialist
      Blue Cross and Blue Shield of New Mexico

    • Initial Complaint

      Date:07/06/2023

      Type:Service or Repair Issues
      Status:
      Answered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      In 2022 I tried numerous times to correct my address. Numerous places on APPS and on the WEB. I even was sent a letter.

      I never received my $100 from 2022 and now my doctor wants a wellness exam. Why? I'll never see my money because they never got a thing right. Beer yet I get a letter today for $50 incentive for home health assessment. Why? You got the letter to me bit ill never see a dime like last year.

      Business Response

      Date: 07/18/2023

      Thank you for your inquiry. We are reviewing the case and will reach out to the member directly with a resolution.

    Blue Cross and Blue Shield of New Mexico is NOT a BBB Accredited Business.

    To become accredited, a business must agree to BBB Standards for Trust and pass BBB's vetting process.

    Why choose a BBB Accredited Business?

    BBB Business Profiles may not be reproduced for sales or promotional purposes.

    BBB Business Profiles are provided solely to assist you in exercising your own best judgment. BBB asks third parties who publish complaints, reviews and/or responses on this website to affirm that the information provided is accurate. However, BBB does not verify the accuracy of information provided by third parties, and does not guarantee the accuracy of any information in Business Profiles.

    When considering complaint information, please take into account the company's size and volume of transactions, and understand that the nature of complaints and a firm's responses to them are often more important than the number of complaints.

    BBB Business Profiles generally cover a three-year reporting period, except for customer reviews. Customer reviews posted prior to July 5, 2024, will no longer be published when they reach three years from their submission date. Customer reviews posted on/after July 5, 2024, will be published indefinitely unless otherwise voluntarily retracted by the user who submitted the content, or BBB no longer believes the review is authentic. BBB Business Profiles are subject to change at any time. If you choose to do business with this company, please let them know that you checked their record with BBB.

    As a matter of policy, BBB does not endorse any product, service or business. Businesses are under no obligation to seek BBB accreditation, and some businesses are not accredited because they have not sought BBB accreditation. BBB charges a fee for BBB Accreditation. This fee supports BBB's efforts to fulfill its mission of advancing marketplace trust.