N.M. Admin. Code § 16.5.1.21

Current through Register Vol. 36, No. 1, January 14, 2025

Section 16.5.1.21 - CONSULTING SERVICES; CLAIMS REVIEW BY INSURANCE COMPANIES OR THIRD PARTY PAYERS

A dentist who reviews dental insurance or third party payment claims for patients being treated by a dentist in New Mexico must meet the following requirements:

A. be a current New Mexico licensed dentist; and

B. within 60 days, of initial agreement or contract with insurance company or third party payer, the reviewing dentist must provide the board office with the dentist's license number and name of the insurance company or third party payer for which the dentist is providing claims review services.

N.M. Admin. Code § 16.5.1.21

Adopted by New Mexico Register, Volume 30, Issue 22, November 26, 2019, eff. 12/14/2019, Adopted by New Mexico Register, Volume XXXIV, Issue 10, May 31, 2023, eff. 5/31/2023