GroundRules
← Search the law
New Mexico · Through 2026-07-01

59A-57-4.1: External grievance appeals; appointment; compensation.

Read at publisher ↗
Where this section sits in the code
  1. Chapter 59A - Insurance Code
  2. ARTICLE 57 Patient Protection

A. The superintendent may appoint one or more qualified individuals to review external grievance appeals.

B. The superintendent shall fix the reasonable compensation of each appointee based upon, but not limited to, compensation amounts suggested by national or state legal or medical professional societies, organizations or associations.

C. Upon completion of the external grievance appeal review, the superintendent shall prepare a detailed statement of compensation due each appointee and shall present the statement to the enrollee's health insurer.

D. The enrollee's health insurer shall pay the compensation directly to each appointee who participated in the external grievance appeal review.

E. The superintendent shall promulgate rules to implement this section.

Collected 2026-09-03T15:02:20Z. Source file · JSON

Browse this collection