12 CRR-NY 325-5.6NY-CRR
STATE COMPILATION OF CODES, RULES AND REGULATIONS OF THE STATE OF NEW YORK
TITLE 12. DEPARTMENT OF LABOR
CHAPTER V. WORKERS' COMPENSATION
SUBCHAPTER C. MEDICAL PROVIDER AUTHORIZATION
PART 325. MEDICAL AND SURGICAL CARE AND TREATMENT
SUBPART 325-5. COMPUTER MATCH BETWEEN HEALTH INSURERS AND WORKERS' COMPENSATION CARRIERS
12 CRR-NY 325-5.6
12 CRR-NY 325-5.6
325-5.6 Payment for searches; process for submission of search requests.
(a) Fees for computer match process.
(1) The board will charge a health insurer $0.045 for each search request submitted through the computer match process. Where multiple searches of the same record are required, there shall be a charge for each search. Payment shall be made in a form acceptable to the chair and must be received prior to the board performing the computer search.
(2) Submission of data; payment. A health insurer shall identify the number of claims submitted and the total cost as per the rates cited in paragraph (a)(1) of this section in a manner and at a time prescribed by the chair as periodically provided to the health insurer by written or electronic notice or such method as shall be provided in such notice.
(b) Fees for manual searches by board personnel.
(1) Manual search of archived cases. The charge for a manual search by board personnel of Workers' Compensation Board records in archived cases that are not available electronically will be $2.50 per workers’ compensation case number search. Payment must accompany the request for a manual search and is to be made in a form acceptable to the chair.
(2) Manual review of an electronic file. The charge for a manual search by board personnel of Workers’ Compensation Board records in electronic case files will be $2.50 per workers’ compensation case number search. Payment must accompany the request for a manual search and is to be in a form acceptable to the chair.
(3) Copying costs. The charge for copying documents pursuant to a request for a manual search of an archived case or for manual review of an electronic file shall be as specified in Public Officers’ Law, section 87(1)(b)(iii). Copying costs shall be in addition to the fees charged for manual searches as specified in paragraphs (1) and (2) of this subdivision.
12 CRR-NY 325-5.6
Current through August 31, 2021
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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.