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New York Codes Rules Regulations (Last Updated: March 27,2024) |
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TITLE 11. Insurance |
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Chapter I. General Provisions |
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Part 17. Standard Health Insurance Claims Forms for the Services of Physicians, Dentists and Hospitals |
Sec. 17.3. Additional information
Latest version.
- The establishment of any standard claim form by the superintendent shall not preclude a commercial insurer or an article IX-C corporation from obtaining any necessary additional information regarding a claim from the claimant, provider of health care or treatment, or certifier of coverage. Recognizing that unlimited requests for additional information by a commercial insurer or an article IX-C corporation may negate the benefits to be gained by a standard claim form, “necessary additional information” should be requested only when a claim cannot be resolved without obtaining such information or certification of coverage is needed.