N.Y. Pub. Health Law § 4917
Current through 2024 NY Law Chapter 457
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 enrollee's designee, shall not pursue reimbursement from the enrollee for services determined not medically necessary by the external appeal agent, except to collect a copayment.
N.Y. Pub. Health Law § 4917