New York Codes, Rules and Regulations
Title 12 - DEPARTMENT OF LABOR
Chapter V - Workers' Compensation
Subchapter C - Medical Treatment and Care
Part 325 - Medical And Surgical Care And Treatment
Subpart 325-5 - Computer match between health insurers and workers' compensation carriers
Section 325-5.7 - Annual reporting

Current through Register Vol. 46, No. 12, March 20, 2024

No later than March 31st of each year, each health insurer and HIMP agent participating in this program shall send a report to the Chair indicating the total amount of reimbursement requested and recovered, the total number of HIMP-1 forms submitted for reimbursement, the total number of requests for arbitration submitted in the prior calendar year as a result of this program, identifying the number of requests for a desk arbitration and the number of requests for an oral hearing, and including the number of arbitrations resolved in favor of the health insurer. Each health insurer and HIMP agent shall report the name of each medical provider for which it has discovered duplicate payment made by the health insurer and the carrier and the number of such duplicate payments made in the prior calendar year.

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