12 CRR-NY 325-5.7NY-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 325-5.7
12 CRR-NY 325-5.7
325-5.7 Annual reporting.
No later than March 31st of each year, each health insurer and HIMP agent participating in this program shall send a report to the chair indicating the total amount of reimbursement requested and recovered, the total number of HIMP-1 forms submitted for reimbursement, the total number of requests for arbitration submitted in the prior calendar year as a result of this program, identifying the number of requests for a desk arbitration and the number of requests for an oral hearing, and including the number of arbitrations resolved in favor of the health insurer. Each health insurer and HIMP agent shall report the name of each medical provider for which it has discovered duplicate payment made by the health insurer and the carrier and the number of such duplicate payments made in the prior calendar year.
12 CRR-NY 325-5.7
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.