New Mexico Administrative Code
Title 13 - INSURANCE
Chapter 10 - HEALTH INSURANCE
Part 12 - STANDARDIZED HEALTH CLAIM FORMS
Section 13.10.12.11 - GENERAL PROVISIONS
Universal Citation: 13 NM Admin Code 13.10.12.11
Current through Register Vol. 35, No. 18, September 24, 2024
A. Issuers shall:
(1) accept the most current
editions of the HCFA form 1500, HCFA form 1450, or J512 form completed in
accordance with the most current instructions for these forms from health care
practitioners and institutional care practitioners; and
(2) modify their claim reimbursement
practices to encompass the coding changes for all billing and claim filing by
the effective date of the changes set forth by the developers of the forms,
codes and procedures required under this rule.
B. Health care practitioners and institutional care practitioners utilizing HCFA form 1500, HCFA form 1450, or the J512 form shall use the most current version of the forms and applicable instructions. Claims filed in paper form shall be printed on 8.5 x 11 inch paper.
C. Issuers may require that claims be submitted on HCFA form 1500, HCFA form 1450, or the J512 form.
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