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.
Effective dates. — Laws 2019, ch. 227, § 16 made Laws 2019, ch. 227 effective January 1, 2020.
Structure New Mexico Statutes
Article 57A - Surprise Billing Protection
Section 59A-57A-1 - Short title.
Section 59A-57A-2 - Definitions.
Section 59A-57A-3 - Emergency care; reimbursement; limitation on charges.
Section 59A-57A-4 - Non-emergency care; limitation on charges.
Section 59A-57A-6 - Covered persons; providers; overpayment.
Section 59A-57A-7 - Nonparticipating providers; rebates and inducements; prohibition.
Section 59A-57A-8 - Health care provider reimbursement rates; surprise billing.
Section 59A-57A-9 - Reasonable health care cost management permitted.
Section 59A-57A-10 - Private cause of action.
Section 59A-57A-11 - Information from provider networks.