NM INS Data Call Surprise Billing Act


On Oct. 2, NM INS issued data call re surprise billing Protections.


  • NM INS issued data call per the Surprise billing protection act (NM INS 59A-57A-11).
  • Set out in Bulletin 2024-020 issued on Oct. 2, 2024, to all health care carriers.
  • Provisions
  • Per its authority to request carriers to report annual percentage of claims and expenditures paid to nonparticipating providers, NM INS is issuing the data call.
  • NM INS 13.10.33.11 requires carriers to submit a surprise billing data report using a template provided by NM INS to be submitted annually by May 1 of each year.
  • The report is required to contain data from the full prior calendar year.
  • Data for Plan Year 2023 must be submitted via SERFF and is due Dec. 31, 2024.

Regulators NM INS
Entity Types Ins
Reference Bul 2024-020, 10/2/2024; Citation: NM INS 59A-57A-11; NM INS 13.10.33.11;
Functions Claims/Accelerated Benefits; Compliance; Legal; Product Administration; Reporting
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 10/2/2024
Effective Date 12/31/2024
Rule Id 228497
Linked to N/A
Reg. Last Update 10/2/2024
Report Section US Insurance

Last substantive update on 10/07/2024