Laws of New York (Last Updated: November 21, 2014) |
ISC Insurance |
Article 49. UTILIZATION REVIEW AND EXTERNAL APPEAL |
Title 2. RIGHT TO EXTERNAL APPEAL |
Section 4917. Hold harmless
Latest version.
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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