12 CRR-NY 325-1.20NY-CRR
12 CRR-NY 325-1.20
12 CRR-NY 325-1.20
325-1.20 Payment of bills for treatment or services performed prior to October 1, 1994.
The provisions of subdivision 1 of section 13-g, subdivision 6 of section 13-k, subdivision 6 of section 13-1 and subdivision 7 of section 13-m of the Workers' Compensation Law, relative to the making of an award for an unpaid bill rendered to an employer or carrier by a physician, hospital, self-employed physical or occupational therapist, podiatrist, chiropractor, or psychologist, where an impartial examination of the fairness of the amount of such bill has not been timely requested, shall be subject to the following:
(a) In the case of a physician's or hospital's bill, the treatment or services shall have been furnished on or after July 27, 1976. In the case of a self-employed physical or occupational therapist's, podiatrist's or chiropractor's bill, the treatment or services shall have been furnished on or after January 1, 1987. In the case of a psychologist' s bill, the treatment or services shall have been furnished on or after January 1, 1990. In all cases the treatment or services shall have been performed prior to October 1, 1994.
(b) The physician's, self-employed physical or occupational therapist's, podiatrist's, chiropractor's or psychologist's bill shall have been submitted to the employer or carrier within 90 days from the last day of the month in which the services were rendered; the hospital's bill shall have been submitted to such parties within 120 days from the last day of the month in which the services were rendered.
(c) Only in the event that the courts, on appeal, disallow a claim for workers' compensation shall the employer or carrier be entitled to reimbursement, in accordance with the provisions of section 23 of the Workers' Compensation Law, for such fair and reasonable doctors' bills paid by the employer or carrier pending the outcome of the appeal.
(d) In the case of treatment or services performed on or after October 1, 1994, regardless of the date of accident or occupational disease, the making of an award for unpaid bills for such services shall be subject to section 325-1.24 of this Subpart.
12 CRR-NY 325-1.20
Current through August 31, 2021
| End of Document |
IMPORTANT NOTE REGARDING CONTENT CURRENCY: JULY 31, 2023, 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 Admisnistrative Rules at [email protected]. See Help for additional information on the currency of this unofficial version of the NYS Rules.