summary
Introduced
01/28/2022
01/28/2022
In Committee
Crossed Over
Passed
Dead
02/17/2022
02/17/2022
Introduced Session
2022 Regular Session
Bill Summary
AN ACT RELATING TO HEALTH INSURANCE; REQUIRING THE SUPERINTENDENT OF INSURANCE TO PROMULGATE RULES ESTABLISHING A TIME FRAME FOR INSURERS TO LOAD INFORMATION ON APPROVED PROVIDERS INTO THEIR PROVIDER PAYMENT SYSTEMS; REQUIRING INSURERS TO REIMBURSE APPROVED PROVIDERS IF THE INSURERS FAIL TO LOAD THAT INFORMATION WITHIN FORTY-FIVE DAYS OF RECEIVING A COMPLETE CREDENTIALING APPLICATION.
AI Summary
This bill requires the Superintendent of Insurance to promulgate rules establishing a 45-day timeframe for insurers to load information on approved providers into their provider payment systems. If insurers fail to do so, they must reimburse the approved providers for claims received more than 45 days after the insurer received a complete credentialing application, provided certain conditions are met. The bill aims to ensure insurers promptly process provider credentialing applications and update their systems accordingly, to avoid delays in provider reimbursement.
Sponsors (2)
Last Action
Action Postponed Indefinitely (on 01/28/2022)
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.nmlegis.gov/Legislation/Legislation?chamber=S&legtype=B&legno=182&year=22 |
| BillText | https://www.nmlegis.gov/Sessions/22%20Regular/bills/senate/SB0182.pdf |
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