Managed Care
New Mexico Mutual has assembled a group of providers that will assist us in providing quality cost-effective services for our policyholders in New Mexico. On your behalf, we develop relationships with Acute Occupational facilities and Medical Service providers.
What is an Acute Occupational facility?
An Acute Occupational facility is a facility that treats occupational injuries for your injured employees. They strive to provide quality cost effective services that are reasonable and help in returning injured employees to a productive lifestyle as soon as is medically possible. As part of the treatment plan, an active return to work strategy is employed.
In an emergent situation, we want you to make the best decision on medical direction for your injured employee. Should this situation arise please do what you feel is best for your employee.
What is a Medical Service Provider (MSP)
A Medical Service Provider is a licensed provider of special services where an Acute Occupational facility may refer an employee for additional care. An example of a MSP is a rehabilitation facility, durable medical goods provider, prescription provider, or occupational therapist. In addition, MSPs may assist with any additional medical needs beyond the Acute Occupational facility.
What do you need to know about treating a patient with a work related injury?
As a health care provider you hold a very valuable role by assisting us in providing medical services for injured workers in New Mexico. We want to make sure that you have the information you need to treat an injured employee. Click on the link below for guidelines, which will provide information published by the New Mexico Workers Compensation Administration regarding health care providers responsibilities.
http://workerscomp.state.nm.us/pdf/booklets/B8.pdf
What can you do for New Mexico Mutual as a Medical Provider?
We would like to hear from you. Please contact New Mexico Mutual's Provider Relations department at 343-2806, or 1-800-788-8851, ext. 1806.
DO YOU NEED TO REACH US?....
Claim billing address: P.O. Box 27810,
Albuquerque, New Mexico 87125
Claim preauthorization fax: (505) 345-0656
Preauthorization phone: (505) 345-7260 or (800) 788-8851
Claim information phone: 345-7260 or (800) 788-8851
