New TPA for New Mexico Health Connections starting January 1

New Mexico Health Connections (NMHC) has sent out their latest Winter 2019 newsletter. We, at MPS, wanted to bring to your attention an important update. NMHC will have a new Third-Party Administrator (TPA) effective January 1, 2020. They will be working with Friday Health Plans and they will end their Managed Services Agreement with True Health New Mexico. So, what do these changes mean? As of January 1, NMHC members will no longer be able to utilize the True Health New Mexico provider network. True Health New Mexico will continue to provide medical management services, billing services, and customer service to NMHC members through... read more

The In’s and Out’s of Third-Party Pricing Companies

THE IN’S AND OUT’S OF THIRD-PARTY PRICING COMPANIES There is much in life that can either be a help or a hinderance and it all depends on how it is viewed. The more you know, the more you can transform apparent obstacles into building blocks. The more you know about third-party pricing companies, the better chance you have at navigating out-of-network rates. When a provider is contracted with a third-party pricing company, that provider has increased their chances of avoiding the out-of-network entanglement. If the provider is out-of-network with a patient’s insurance but that insurance is also... read more