By state / New Mexico
New Mexico
- Regulator
- New Mexico Office of Superintendent of Insurance (OSI)
- External review
- State-run. Request it through the regulator after the plan's final internal denial; the federal floor is 4 months (45 CFR 147.136).
- Published reversal rate
- Not published by the regulator · source
- Notes
- Data gap: NM OSI does not publish public external-review overturn statistics.
Before external review
File the plan's internal appeal first (at least 180 days for ACA-compliant plans; the letter states the date). Ask for the claim file and the criteria the plan applied; both are free on request. Self-funded employer plans use the federal external review and the U.S. Department of Labor, not the state.
More on New Mexico: state appeal rights · External Review Index entry · insurer denial rates (HealthCare.gov states).
Verified 2026-09-15. The regulator's site and your denial notice control.