ยง 4917. Hold harmless. 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.
Structure New York Laws
Article 49 - Utilization Review and External Appeal
Title 2 - Right to External Appeal
4910 - Right to External Appeal Established.
4911 - Powers of the Superintendent.
4912 - Standards for Certification.
4914 - Procedures for External Appeals of Adverse Determinations.
4916 - Oversight and Surveillance of the External Appeal Process.