New York Laws
Article 49 - Utilization Review and External Appeal
Title 2 - Right to External Appeal

4910 - Right to External Appeal Established. - (b) An insured, the insured's designee and, in connection with...

4911 - Powers of the Superintendent. - (b) If, after reviewing the application authorized by section four...

4912 - Standards for Certification. - (1) a description of the qualifications of the clinical peer...

4913 - Conflict of Interest. - (1) the health care plan; (2) any officer, director, or...

4914 - Procedures for External Appeals of Adverse Determinations. - (b) (1) The insured shall have four months to initiate...

4915 - Prohibited Practices. - (a) either a percentage of the amount by which a...

4916 - Oversight and Surveillance of the External Appeal Process. - (1) review the activities of the health care plans and...

4917 - Hold Harmless. - § 4917. Hold harmless. A health care provider requesting an...