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NY S07159
Bill
Status
7/22/2020
Primary Sponsor
Robert Jackson
Click for details
AI Summary
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Requires insurers and health care organizations to clearly distinguish between partial approval and full denial of medical claims in written notices to policyholders, covered persons, or health care providers within thirty calendar days of claim receipt.
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Mandates that partial approvals display "NOTICE OF PARTIAL APPROVAL OF MEDICAL COVERAGE" at the top in at least fourteen-point bold type, while denials must display "NOTICE OF DENIAL OF MEDICAL COVERAGE" in the same format.
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Requires all denial or partial approval reasons to be prominently displayed in at least twelve-point type, with any additional terms or conditions (such as appeal deadlines) also in at least twelve-point type.
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Applies to policies and contracts issued, renewed, modified, altered, or amended on or after the ninetieth day following the bill's enactment.
Legislative Description
Requires specification between partial approval of medical claims or payments and full denial of medical claims or payments on written notices to an insurer or an organization or corporation licensed or certified.
Last Action
referred to insurance
7/22/2020