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N.Y. Financial Services Law § 601

Dispute resolution process established

Redline — January 1, 2016 → current.View current text →
Current — January 1, 2023
As of January 1, 2016
§ 601. Dispute resolution process established. The superintendent\nshall establish a dispute resolution process by which a dispute for a\nbill for emergency services or a surprise bill may be resolved. The\nsuperintendent shall have the power to grant and revoke certifications\nof independent dispute resolution entities to conduct the dispute\nresolution process. The superintendent shall promulgate regulations\nestablishing standards for the dispute resolution process, including a\nprocess for certifying and selecting independent dispute resolution\nentities. An independent dispute resolution entity shall use licensed\nphysicians in active practice in the same or similar specialty as the\nphysician providing the service that is subject to the dispute\nresolution process of this article. To the extent practicable, the\nphysician shall be licensed in this state.\n
§ 601. Dispute resolution process established. The superintendent\nshall establish a dispute resolution process by which a dispute for a\nbill for emergency services or a surprise bill may be resolved. The\nsuperintendent shall have the power to grant and revoke certifications\nof independent dispute resolution entities to conduct the dispute\nresolution process. The superintendent shall promulgate regulations\nestablishing standards for the dispute resolution process, including a\nprocess for certifying and selecting independent dispute resolution\nentities. An independent dispute resolution entity shall use licensed\nphysicians in active practice in the same or similar specialty as the\nphysician providing the service that is subject to the dispute\nresolution process of this article for disputes that involve physician\nservices. To the extent practicable, the physician shall be licensed in\nthis state. Disputes shall be submitted to an independent dispute\nresolution entity within three years of the date the health care plan\nmade the original payment on the claim that is the subject of the\ndispute.\n

Official source: NYS Open Legislation (New York State Senate). Reproduced from public-domain New York statutes; confirm against the official source for the current text. Not legal advice.