§ 3224 — Standard claim forms; accident and health insurance

New York § 3224

• Jurisdiction: New York
• Law ISC: Insurance
• Art. 32: Insurance Contracts - Life, Accident and Health, Annuities

Text

§ 3224. Standard claim forms; accident and health insurance. (a) The\nsuperintendent shall establish standard claim forms for the services of\nhospitals, physicians and other health care providers to be used for all\naccident and health insurance claims. All insurers providing such\ninsurance shall accept said standard claim forms when submitted by a\nhospital, physician or other health care provider covering services\nrendered to an individual covered by the policy or when submitted by an\ninsured covering these same services. Corporations operating under\narticle forty-three of this chapter shall be required to use standard\nclaim forms as established by the superintendent pursuant to this\nsection.\n (b) The adoption of any uniform claim forms by the superintendent\npursuant hereto shall not preclude an insurer from obtaining any\nnecessary additional information regarding a claim from the claimant,\nprovider of health care or treatment, or certifier of coverage.\n (c) The superintendent is authorized and empowered to take such action\nas he deems appropriate for the proper implementation hereof and to\nprovide by rule and regulation that any form which does not comply with\nthe provisions of this section shall not be issued or reissued. The\nrules and regulations so adopted shall specify an effective date, which\nshall not be less than one hundred eighty days after the date of\nadoption or promulgation, after which no insurer may require any\nhospital, physician, other health care provider or insured to complete\nforms differing from those prescribed by the superintendent pursuant\nhereto, other than additional requests for information pursuant to\nsubsection (b) hereof.\n