N.Y. Ins. Law § 4917
Current through 2024 NY Law Chapter 553
A health care provider requesting an external appeal of a concurrent adverse determination, including when the health care provider requests an external appeal as the insured's designee, shall not pursue reimbursement from the insured for services determined not medically necessary by the external appeal agent, except to collect a copayment, coinsurance or deductible.
N.Y. Ins. Law § 4917