Assignment of Benefits and Consent Form - New Mexico (English / Spanish)

Assignment of Benefits and Consent Form is a legal document that was released by the New Mexico Department of Health - a government authority operating within New Mexico.

FAQ

Q: What is an Assignment of Benefits form?
A: An Assignment of Benefits form is a legal document that allows a healthcare provider to directly bill and receive payment from the patient's insurance company.

Q: What is a Consent form?
A: A Consent form is a document that gives permission for a healthcare provider to perform a specific medical treatment or procedure.

Q: Why do I need to sign an Assignment of Benefits form?
A: Signing an Assignment of Benefits form allows the healthcare provider to handle the insurance billing process on your behalf, making it easier for you to receive care.

Q: Why do I need to sign a Consent form?
A: Signing a Consent form ensures that you understand and give permission for a specific medical treatment or procedure, including any potential risks or benefits.

Q: What language is this form available in?
A: This form is available in both English and Spanish.

Q: Is it mandatory to sign these forms?
A: Signing these forms is typically mandatory in order to receive medical care and for the healthcare provider to bill your insurance.

Q: Can I request a translated version of the form?
A: Yes, if you need a translated version of the form, you can request one from your healthcare provider.