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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 III. Policy and Certificate Provisions |
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Subchapter A. Life, Accident and Health Insurance |
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Part 56. Health Insurance Claims Processing and Procedures |
Sec. 56.2. Definitions
Latest version.
- The following words or terms shall have the following meanings when used in this Part:(a) Health care professional means an appropriately licensed, registered or certified health care professional pursuant to title 8 of the Education Law or a health care professional comparably licensed, registered or certified by another state.(b) Health care provider means a health care professional or a facility licensed pursuant to article 28, 36, 44 or 47 of the Public Health Law or a facility licensed pursuant to article 19, 23, 31 or 32 of the Mental Hygiene Law.(c) Health plan means an insurer or health maintenance organization (HMO) that has issued a policy that provides hospital, surgical or medical expense coverage.(d) Medical information means any medical data, written explanation from a health care professional, or medical record.