Health care provider reimbursement rates; surprise billing.

  1. Law
  2. New Mexico Statutes
  3. Insurance Code
  4. Surprise Billing Protection
  5. Health care provider reimbursement rates; surprise billing.

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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.

History: Laws 2019, ch. 227, § 8.

ANNOTATIONS

Effective dates. — Laws 2019, ch. 227, § 16 made Laws 2019, ch. 227 effective January 1, 2020.


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