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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 XVIII. External Appeals of Adverse Determinations of Health Care Plans |
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Part 410. External Appeals of Adverse Determinations of Health Care Plans |
| 11 CRR-NY XVIII 410 Notes |
| Sec. 410.1. Preamble |
| Sec. 410.2. Definitions |
| Sec. 410.3. Standard description of the external appeal process |
| Sec. 410.4. Certification of external appeal agents |
| Sec. 410.5. Certification requirements |
| Sec. 410.6. Conflict of interest |
| Sec. 410.7. Screening of requests for external appeal |
| Sec. 410.8. Random assignment of external appeals |
| Sec. 410.9. Responsibilities of health care plans |
| Sec. 410.10. Responsibilities of certified external appeal agents |
| Sec. 410.11. Insured rights and responsibilities |
| Sec. 410.12. Confidentiality |
| Sec. 410.13. Audits and examinations |