23 CRR-NY 400.9NY-CRR

STATE COMPILATION OF CODES, RULES AND REGULATIONS OF THE STATE OF NEW YORK
TITLE 23. FINANCIAL SERVICES
CHAPTER I. REGULATIONS OF THE SUPERINTENDENT OF FINANCIAL SERVICES
PART 400. INDEPENDENT DISPUTE RESOLUTION FOR EMERGENCY SERVICES AND SURPRISE BILLS
23 CRR-NY 400.9
23 CRR-NY 400.9
400.9 IDRE record retention and compliance.
(a) An IDRE shall retain case records in accordance with 11 NYCRR 243 (Insurance Regulation 152) for audit and examination for a period of six years from the date of the IDRE’s determination. The IDRE shall keep and maintain all documentation relating to a case for no less than six years from the date of the IDRE’s determination. The IDRE shall maintain on file each attestation required to be submitted pursuant to section 400.3(a)(4)(ii) of this Part for six years from the date of the IDRE’s determination.
(b) An IDRE shall ensure the confidentiality of medical and treatment records and review materials in accordance with 11 NYCRR 420 (Insurance Regulation 169) and 11 NYCRR 421 (Insurance Regulation 173) relating to the privacy and confidentiality of health information.
(c) Every attestation required to be submitted pursuant to section 400.3(a)(4)(ii) of this Part shall be in a form prescribed by the superintendent.
(d) An IDRE shall be subject to examination by the superintendent at any time to ascertain compliance with Financial Services Law article 6 and this Part.
(e) An IDRE shall provide ready access to the superintendent to all data, records, and information collected and maintained concerning the IDRE’s dispute resolution activities.
(f) An IDRE shall provide the superintendent data, information, and reports as the superintendent determines necessary to evaluate the dispute resolution process within two business days or such other period acceptable to the superintendent.
(g) An IDRE shall consent to cooperate in court proceedings relevant to its role as an IDRE.
(h) The superintendent may suspend IDRE case assignment if the IDRE fails to comply with any of the requirements of this Part and the superintendent may require all necessary corrective actions be taken by the IDRE.
23 CRR-NY 400.9
Current through June 15, 2022
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.