New York Codes, Rules and Regulations
Title 11 - INSURANCE
Chapter IX - Unfair Trade Practices
Part 217 - Processing Of Health Insurance Claims
Subpart 217-1 - Prompt Payment Of Health Insurance Claims
Section 217-1.1 - Definitions and applicability
Universal Citation: 11 NY Comp Codes Rules and Regs ยง 217-1.1
Current through Register Vol. 46, No. 39, September 25, 2024
(a) For the purposes of this Subpart:
(1) payer shall mean an insurer authorized to
write accident and health insurance or that is licensed pursuant to article 43
of the New York Insurance Law, or an entity certified pursuant to article 44 of
the Public Health Law; and
(2)
submitted on paper shall include claims submitted on paper or by
facsimile.
(b) This Subpart shall apply to all health care claims submitted under contracts or agreements issued or entered into pursuant to article 32, 42 or 43 of the Insurance Law or article 44 of the Public Health Law.
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