Revenue Cycle Solutions Customized with YOU in Mind!

If you have health insurance you are protected from balance billing (also called surprise billing) in some cases like when you get emergency care from an out-of-network provider or are treated by an out-of-network provider at an in-network facility. This means you cannot be charged more than the copayments, coinsurance and/or deductible (“cost sharing amount”) that you would have to pay for in-network care. Under certain circumstances you are protected if you receive emergency care from an out-of-network provider or non-emergency care from an out-of-network provider at an in-network facility. If you pay an out-of-network provider more than your in-network cost-sharing amount, you may be entitled to a refund from the provider. Contact the New Mexico Office of Superintendent of Insurance for further information about your rights.