New York Codes, Rules and Regulations
Title 11 - INSURANCE
Chapter I - GENERAL PROVISIONS
Part 17 - Standard Health Insurance Claims Forms For The Services Of Physicians, Dentists And Hospitals
Section 17.4 - Modifications to standard claim forms
Universal Citation: 11 NY Comp Codes Rules and Regs ยง 17.4
Current through Register Vol. 46, No. 39, September 25, 2024
(a) A commercial insurer or an article IX-C corporation may add to the claim form its own identification and similar information; however, no alteration may be made to the format of the standard claim form.
(b) Attachments to the standard claim forms by physicians and dentists, in lieu of completion of a portion of the claim forms, are permitted when the attachment is part of an office and bookkeeping system, provides information consistent with that required in the standard claim form, and is not found objectionable by the superintendent.
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