New Mexico § 59A-57A-7 Nonparticipating providers; rebates and inducements;

New Mexico Statutes

§ 59A-57A-7 — Nonparticipating providers; rebates and inducements;

New Mexico·Ch. 59A Insurance Code·Art. 57A Surprise Billing Protection

prohibition. A nonparticipating provider shall not, either directly or indirectly, knowingly waive, rebate, give, pay or offer to waive, rebate, give or pay all or part of a cost-sharing amount owed by a covered person pursuant to the terms of the covered person's health benefits plan as an inducement for the covered person to seek a health care service from that nonparticipating provider. The superintendent may impose fines on providers for unlawful rebates and inducements; provided that a provider on which the superintendent intends to impose a fine shall be entitled to a hearing in accordance with the provisions of Section 59A-4-15 NMSA 1978.

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prohibition. A nonparticipating provider shall not, either directly or indirectly, knowingly waive, rebate, give, pay or offer to waive, rebate, give or pay all or part of a cost-sharing amount owed by a covered person pursuant to the terms of the covered person's health benefits plan as an inducement for the covered person to seek a health care service from that nonparticipating provider. The superintendent may impose fines on providers for unlawful rebates and inducements; provided that a provider on which the superintendent intends to impose a fine shall be entitled to a hearing in accordance with the provisions of Section 59A-4-15 NMSA 1978.

New Mexico § 59A-57A-7 (Nonparticipating providers; rebates and inducements;) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.