New York Codes, Rules and Regulations
Title 11 - INSURANCE
Chapter XVIII - External Appeals Of Adverse Determinations Of Health Care Plans
Part 410 - External Appeals Of Adverse Determinations Of Health Care Plans
- Section 410.1 - Preamble
- Section 410.2 - Definitions
- Section 410.3 - Standard description of the external appeal process
- Section 410.4 - Certification of external appeal agents
- Section 410.5 - Certification requirements
- Section 410.6 - Conflict of interest
- Section 410.7 - Screening of requests for external appeal
- Section 410.8 - Random assignment of external appeals
- Section 410.9 - Responsibilities of health care plans
- Section 410.10 - Responsibilities of certified external appeal agents
- Section 410.11 - Insured rights and responsibilities
- Section 410.12 - Confidentiality
- Section 410.13 - Audits and examinations
Current through Register Vol. 46, No. 39, September 25, 2024
Statutory authority: Insurance Law, §§201, 301, 1109, 3201, 3216, 3217, 3217-a, 3221, 4235, 4303, 4304, 4305, 4321, 4322, 4324; arts. 47, 49; L. 1998, ch. 586
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