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New York Codes Rules Regulations (Last Updated: March 27,2024) |
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TITLE 10. Department of Health |
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Chapter II. Administrative Rules and Regulations |
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Subchapter R. Health Maintenance Organizations |
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Part 98. Health Maintenance Organizations |
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Subpart 98-2. External Appeals of Adverse Determinations |
Sec. 98-2.8. Random assignment of external appeals
Latest version.
- Requests for external appeals that have been determined to be eligible for external appeal shall be randomly assigned by the superintendent to a certified external appeal agent according to a process prescribed by the commissioner and superintendent. Such process must take into account conflicts of interest pursuant to section 4913 of the Public Health Law and Insurance Law and section 98-2.6 of this Subpart.