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Bill > SB124


NM SB124

NM SB124
Pharmacy Claim Insurance Payment & Process


summary

Introduced
01/19/2021
In Committee
03/11/2021
Crossed Over
02/25/2021
Passed
03/19/2021
Dead
Signed/Enacted/Adopted
03/19/2021

Introduced Session

2021 Regular Session

Bill Summary

AN ACT RELATING TO INSURANCE; REGULATING THE PROCESSING AND PAYMENT OF PHARMACY CLAIMS.

AI Summary

This bill aims to regulate the processing and payment of pharmacy claims by health plans in New Mexico. It amends an existing law to define key terms like "clean claim" and "eligible provider," and requires health plans to pay interest on clean claims that are not paid within the specified timelines. The bill also directs the Office of Superintendent of Insurance to promulgate rules to ensure timely provider access to claim status information, standard claims forms, and uniform calculation of interest. The bill's provisions are set to take effect on July 1, 2021.

Committee Categories

Budget and Finance, Business and Industry, Health and Social Services

Sponsors (2)

Last Action

Signed by Governor - Chapter 45 - Apr. 5 (on 03/19/2021)

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