New York Codes, Rules and Regulations
Title 10 - DEPARTMENT OF HEALTH
Chapter II - Administrative Rules and Regulations
Subchapter R - Health Maintenance Organizations
Part 98 - Health Maintenance Organizations
Subpart 98-2 - External Appeals Of Adverse Determinations
Section 98-2.8 - Random assignment of external appeals
Universal Citation: 10 NY Comp Codes Rules and Regs § 98-2.8
Current through Register Vol. 47, No. 12, March 26, 2025
Requests for external appeals that have been determined to be eligible for external appeal shall be randomly assigned by the superintendent to a certified external appeal agent according to a process prescribed by the commissioner and superintendent. Such process must take into account conflicts of interest pursuant to section 4913 of the Public Health Law and Insurance Law and section 98-2.6 of this Subpart.
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