State IDR guide
New Mexico Independent Dispute Resolution Guide
New Mexico Office of Superintendent of Insurance
New Mexico is a bifurcated state. State protections and payment rules may apply to specified services under New Mexico-regulated coverage.
Plan and jurisdiction considerations
Identify OSI jurisdiction, plan funding, service setting, and whether state law determines payment. ERISA self-funded plans generally use Federal IDR.
Federal fallback
Apply the federal pathway when no New Mexico payment method controls and the claim is federally eligible.
Timing and fees
State administrative and dispute requirements may differ from federal open negotiation. Confirm OSI's current forms, dates, and charges.
Air ambulance considerations
Air ambulance services generally receive Federal IDR treatment when eligible.
Not legal advice. This guide is general information. Consult current agency instructions and qualified counsel for legal interpretation.