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New Mexico · Through 2026-07-01

59A-57A-8: Health care provider reimbursement rates; surprise billing.

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Where this section sits in the code
  1. Chapter 59A - Insurance Code
  2. ARTICLE 57A Surprise Billing Protection

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.

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

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