Prompt Pay Law – NEW MEXICO
NEW MEXICO SUMMARY OF EXISTING LAW
A health plan shall pay for services rendered within 45 days upon receipt of a written clean claim or 30 days upon receipt of a electronic clean claim. A health plan shall specific reasons why it is not liable for the claim or that specific information is required to determine liability for the claim within the same within the time necessary to pay a clean claim. If the health plan fails to make payment as required it is subject to interest of 1.5% per month.
Link to Existing Law: NM Stat. Ann. Chapter 59A Section §59A-16-21.1
PRACTICAL NOTE FOR EXISTING LAW
While PBMs are not specifically mentioned, they are likely included in the broad definition of applicable entities.
