Section 59A-57A-8 – Health care provider reimbursement rates; surprise 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 […]
Section 59A-57A-9 – Reasonable health care cost management permitted.
Nothing in the Surprise Billing Protection Act shall be construed to prohibit a health insurance carrier from appropriately using reasonable health care cost management techniques. History: Laws 2019, ch. 227, § 9. ANNOTATIONS Effective dates. — Laws 2019, ch. 227, § 16 made Laws 2019, ch. 227 effective January 1, 2020.
Section 59A-57A-10 – Private cause of action.
Except as provided in Subsection C of Section 6 [59A-57A-6 NMSA 1978] of the Surprise Billing Protection Act, nothing in that act shall be construed to create or imply a private cause of action for a violation of that act. History: Laws 2019, ch. 227, § 10. ANNOTATIONS Effective dates. — Laws 2019, ch. 227, […]