State Law

New Mexico Statutes Ann-Chapter 59A-Article 57A. Surprise Billing Protection

07/20/2020 New Mexico Section 59A-57A-8

Health care provider reimbursement rates; surprise billing

OON-Payment Issues

A. The superintendent shall convene appropriate stakeholders, including rural providers, insurers and consumer advocates, and review the reimbursement rate for surprise bills annually to ensure fairness to providers and to evaluate the impact on health insurance premiums and health benefits plan networks.

B. Calculation of the date of health insurance carrier receipt of a claim shall align with requirements for prompt payment established pursuant to Section 59A-16-21.1 NMSA 1978.

C. A health insurance carrier shall make available to providers access to claims status information.

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