Dallas, TX asked in Consumer Law and Health Care Law for New Mexico

Q: Are there any case references for New Mexico in reguards to balanced billing?

Or any references to health care providers not billing third part health insurance providers in a timely manner?

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1 Lawyer Answer
David Humphreys
David Humphreys
  • Consumer Law Lawyer
  • Santa Fe, NM
  • Licensed in New Mexico

A: yes. There is a regulation. See TITLE 8 CHAPTER 302 PART 2 NMAC.

It may not apply to your situation. I am not aware of any court rulings on this provision of the Administrative Code. It is a little complicated. More information would be helpful. What type of services? Was their medicare, medicade, private insurance, was it a PPO or HMO? What type of services were subject to balance billing? Radiology, anesthesiology , ER visit? I will respond if you do. Let me know at david@hwh-law.com and i will go back to this site if i can locate it to follow up. Thanks

David Humphreys

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