2011 New Mexico Statutes
Chapter 59A: Insurance Code
Article 57: Patient Protection, 59A-57-1 through 59A-57-11
Section 59A-57-4.1: External grievance appeals; appointment; compensation.
59A-57-4.1. External grievance appeals; appointment; compensation.
A. The superintendent may appoint one or more qualified individuals to review external grievance appeals.
B. The superintendent shall fix the reasonable compensation of each appointee based upon, but not limited to, compensation amounts suggested by national or state legal or medical professional societies, organizations or associations.
C. Upon completion of the external grievance appeal review, the superintendent shall prepare a detailed statement of compensation due each appointee and shall present the statement to the enrollee's health insurer.
D. The enrollee's health insurer shall pay the compensation directly to each appointee who participated in the external grievance appeal review.
E. The superintendent shall promulgate rules to implement this section.
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