11 CRR-NY 56.2NY-CRR

STATE COMPILATION OF CODES, RULES AND REGULATIONS OF THE STATE OF NEW YORK
TITLE 11. INSURANCE
CHAPTER III. POLICY AND CERTIFICATE PROVISIONS
SUBCHAPTER A. LIFE, ACCIDENT AND HEALTH INSURANCE
PART 56. HEALTH INSURANCE CLAIMS PROCESSING AND PROCEDURES
11 CRR-NY 56.2
11 CRR-NY 56.2
56.2 Definitions.
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.
11 CRR-NY 56.2
Current through July 31, 2021
End of Document

IMPORTANT NOTE REGARDING CONTENT CURRENCY: The "Current through" date indicated immediately above is the date of the most recently produced official NYCRR supplement covering this rule section. For later updates to this section, if any, please: consult editions of the NYS Register published after this date; or contact the NYS Department of State Division of Administrative Rules at [email protected]. See Help for additional information on the currency of this unofficial version of NYS Rules.