N.Y. Comp. Codes R. & Regs. tit. 11 § 17.3
Current through Register Vol. 46, No. 50, December 11, 2024
The establishment of any standard claim form by the superintendent shall not preclude a commercial insurer or an article IX-C corporation from obtaining any necessary additional information regarding a claim from the claimant, provider of health care or treatment, or certifier of coverage. Recognizing that unlimited requests for additional information by a commercial insurer or an article IX-C corporation may negate the benefits to be gained by a standard claim form, "necessary additional information" should be requested only when a claim cannot be resolved without obtaining such information or certification of coverage is needed.
N.Y. Comp. Codes R. & Regs. Tit. 11 § 17.3