Section 4917. Hold harmless


Latest version.
  • A health care provider requesting an external
      appeal  of a concurrent adverse determination, including when the health
      care provider requests an external appeal  as  the  insured's  designee,
      shall  not pursue reimbursement from the insured for services determined
      not medically necessary by the external appeal agent, except to  collect
      a copayment, coinsurance or deductible.
        * NB Effective January 1, 2010