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  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