• Provider Grievance

The Grievance Procedures, as outlined in 13.10.16.8 NMAC states a carrier shall adopt and implement a provider grievance plan that complies with this rule. This rule does not preclude a carrier and provider from addressing or resolving a concern through any other process agreed on between them, but no such alternative process shall preclude a provider from presenting a grievance through a process that complies with this rule.

OSI regulates member and provider grievances for major medical health insurance plans. See details below on OSI’s provider grievance regulatory requirements.

“OSI is currently working on updating the guidance and documents for these submissions. Please continue to check for updates, as OSI plans to have the materials re-posted by the end of the year to give carriers time to prepare prior to the March 1, 2026 submission deadline.”

Guidance Chart

Updated Guidance Chart Coming Soon!

Regulations

Bulletins and News

Please check back frequently for updates

Provider Complaint Form

Recent News

Get the latest information about rule changes, legislation, industry information and consumer news.

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REPEAL OF BULLETIN NO. 2023-009

BULLETIN 2026-004: Repeal Note: This bulletin hereby repeals Bulletin No. 2023-009 issued on April 6, 2023. ISSUED this 27 day of January, 2026. REPEAL OF BULLETIN NO. 2023-009

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REPEAL OF BULLETIN NO. 2018-013

BULLETIN 2026-001: Repeal Note: This bulletin hereby repeals Bulletin No. 2018-013 issued on August 23, 2018. ISSUED this 12th day of January, 2026. REPEAL OF BULLETIN NO. 2018-013

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Mandatory Reporting Requirements Under the New Mexico Insurance Fraud Act

This notice serves as an official reminder that all insurers and licensed insurance professionals are required to comply with the mandatory reporting and cooperation requirements established under the New Mexico Insurance Fraud Act. These obligations are ongoing and apply to every insurer, adjuster, producer, and insurance professional conducting business within the State of New Mexico. […]

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