Health Action New Mexico

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Surprise Billing

The Problem 

Patients with insurance receive services at a facility that is in their network but the doctors who treat them are out-of-network, and the provider sends the entire bill for medical services directly to the patient. These bills can be hundreds of thousands of dollars.

The Solution

Ban the practice of sending surprise bills to consumers by requiring providers to negotiate directly with the covered person’s insurer rather than billing the consumer for the full cost.

Policy Status

A bill banning the practice of surprise billing was passed in the 2019 legislative session. This policy is being written into state insurance code. For more information email

News and Resources

JDSUPRA: 2019 New Mexico Legislative Update: What All Healthcare Providers Should Know:

https://www.jdsupra.com/legalnews/2019-new-mexico-legislative-update-what-98088/