New Mexico Statutes 59A-57-4.1. External grievance appeals; appointment;
compensation.
Terms Used In New Mexico Statutes 59A-57-4.1
- Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
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.