New Mexico § 59A-57A-8 Health care provider reimbursement rates; surprise

New Mexico Statutes

§ 59A-57A-8 — Health care provider reimbursement rates; surprise

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

billing.

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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billing. 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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