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NY A02281
Bill
Status
1/25/2023
Primary Sponsor
Amanda Septimo
Click for details
AI Summary
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Providers treating motor vehicle accident injuries within 72 hours are conclusively presumed to accept assignment of no-fault benefits, unless fraud or deception by the claimant is proven.
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Providers who bill non-no-fault insurers must return fees and seek payment from the no-fault insurer instead upon presentation of proof of applicable coverage.
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The time limit for providers to present invoices to insurers is measured from the first date an invoice is presented to any insurer.
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Compensation providers paying for emergency treatment have a direct action right against the liable no-fault insurer for reimbursement, capped at amounts per state-promulgated fee schedules.
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No-fault insurers cannot exclude reimbursement for first-party benefits already paid by other compensation providers.
Legislative Description
Requires that insurers providing no-fault coverage reimburse other insurers for the payment of claims to providers which should have been covered by a no-fault insurer.
Last Action
referred to insurance
1/3/2024