Legislation

Search OpenLegislation Statutes

The Laws of New York
Consolidated Laws of New York
CHAPTER 45
Public Health
ARTICLE 49
Utilization Review and External Appeal
TITLE 2
Right to External Appeal
previous
SECTION 4916
Oversight and surveillance of the external appeal process
up
TITLE 2
Right to External Appeal
This entry was published on 2014-09-22
The selection dates indicate all change milestones for the entire volume, not just the location being viewed. Specifying a milestone date will retrieve the most recent version of the location before that date.
SECTION 4917
Hold harmless
Public Health (PBH) CHAPTER 45, ARTICLE 49, TITLE 2
§ 4917. Hold harmless. 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.