Laws of New York (Last Updated: November 21, 2014) |
PBH Public Health |
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 enrollee's designee, shall not pursue reimbursement from the enrollee for services determined not medically necessary by the external appeal agent, except to collect a copayment. * NB Effective January 1, 2010