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What is a Nonpreferred Provider?

April 26, 2017nonpreferred Provider

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What is a Nonpreferred Provider?

3 Answers

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A Nonpreferred Provider (out-of-network provider) does not have a “preferred” or “PPO” contract with BCBSNM or a Blue Cross and Blue Shield (BCBS) company in another state.

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A Nonpreferred Provider (out-of-network provider) has not contracted with BCBSNM or a Blue Cross and Blue Shield (BCBS) company, either directly or indirectly, to be a part of the preferred or PPO provider network.

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A Nonpreferred Provider (out-of-network provider) has not contracted with BCBSNM or another Blue Cross and Blue Shield (BCBS) company, either directly or indirectly, to be part of the preferred or PPO provider network.