New York Codes Rules Regulations (Last Updated: March 27,2024) |
TITLE 11. Insurance |
Chapter XVIII. External Appeals of Adverse Determinations of Health Care Plans |
Part 410. External Appeals of Adverse Determinations of Health Care Plans |
Sec. 410.8. 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 superintendent and commissioner. Such process must take into account conflicts of interest pursuant to section 4913 of the Insurance Law and Public Health Law and section 410.6 of this Part.