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New Mexico · NM

Billing, marketing, staffing and software for New Mexico practices

RCM Finder supports medical practices in New Mexico remotely, with end to end revenue cycle management, healthcare digital marketing, virtual medical assistance and a practice management system. Below are the Medicare and Medicaid details that apply in New Mexico, with sources.

New Mexico and major cities
AlbuquerqueSanta FeLas CrucesRoswellBack to the full map

New Mexico billing details

Each row shows its source and when we checked it. If a source changes, we update the row.

TopicWhat applies in New MexicoSourceChecked
Medicare contractorNovitas Solutions (A/B MAC JH)CMS, A/B MAC Jurisdiction JHOct 20, 2026
Medicaid agencyHealth Care Authority (Medical Assistance Division)
Medicaid (Turquoise Care managed care) program
Official provider pageOct 20, 2026
Provider enrollment and billingEnrollment, manuals and billing guidance for New Mexico Medicaid providersOpen the provider pageOct 20, 2026
Medicaid fee schedulePublished fee schedules for New Mexico MedicaidOpen the fee schedule pageOct 20, 2026
Commercial prompt paymentUnder 13.10.28.9 NMAC, health carriers including HMOs must pay a clean electronic claim within 30 days and a clean paper claim within 45 days of receipt, plus interest of 1.5 percent per full or partial month on late claims (no interest owed if under $2).
13.10.28.9 NMAC
srca.nm.govOct 20, 2026
Medicaid timely filingNew Mexico Medicaid fee-for-service claims generally must be received within 90 calendar days of the date of service, with different start dates for inpatient stays, other-payer claims, and retroactive eligibility.srca.nm.govOct 20, 2026
Medicaid telehealthThe Health Care Authority rule 8.310.2 NMAC (effective 7/1/2025) covers real-time audio-video telemedicine, limited telephone visits, and store-and-forward consultations, paid like in-person services with an originating-site fee in some cases.hca.nm.govOct 20, 2026

Major cities in New Mexico

We support practices in these cities and everywhere else in New Mexico, remotely.

AlbuquerqueSanta FeLas CrucesRoswell
How we work

Remote by design

No office visit needed

We support practices in every state remotely, so you do not need a local office to work with us.

Rules checked for your state

Each state page lists the Medicare contractor and Medicaid details for that state, with sources and the date we last checked.

One service or all four

Begin where the gap is biggest, whether that is payments, new patients, front-desk capacity or your software.

New Mexico practice questions

Who processes Medicare claims in New Mexico?

Novitas Solutions is the Medicare Administrative Contractor (MAC) that processes Part A and Part B claims in New Mexico (A/B MAC JH), according to CMS.

Which agency runs Medicaid in New Mexico?

Health Care Authority (Medical Assistance Division) runs Medicaid in New Mexico (the Medicaid (Turquoise Care managed care) program). The official state pages linked in the table above cover provider enrollment and billing.

How quickly must insurers pay a clean claim in New Mexico?

Under 13.10.28.9 NMAC, health carriers including HMOs must pay a clean electronic claim within 30 days and a clean paper claim within 45 days of receipt, plus interest of 1.5 percent per full or partial month on late claims (no interest owed if under $2).

How long do I have to file a Medicaid claim in New Mexico?

New Mexico Medicaid fee-for-service claims generally must be received within 90 calendar days of the date of service, with different start dates for inpatient stays, other-payer claims, and retroactive eligibility.

Do you work with practices outside the largest cities in New Mexico?

Yes. We work remotely, so a practice in a small town is supported the same way as a practice in Albuquerque.

Which service should a practice in New Mexico start with?

Start where the problem is biggest: End to End RCM if payments are slow or denials are high, Healthcare Digital Marketing if your schedule has gaps, Virtual Medical Assistance if your front desk is stretched, or a Practice Management System if your tools are scattered. Tell us about your practice and we will suggest a first step.

What should I send first?

A short description of your practice, your specialty, your main payers and the biggest problem you want fixed. Our form asks for the basics.

Free consultation

Ask about your New Mexico practice

We will reply with the details that apply to New Mexico and a suggested first step.

RCMFinder Master Intake Form