Subpart 98-2 External Appeals of Adverse Determinations | Midpage

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New York Codes, Rules and Regulations

Subchapter R. Health Maintenance Organizations

Subpart 98-2 External Appeals of Adverse Determinations

Subpart 98-2 External Appeals of Adverse Determinations

Department of Health

98-2.1Preamble.98-2.2Definitions.98-2.3Standard description of the external appeal process.98-2.4Certification of external appeal agents.98-2.5Certification requirements.98-2.6Conflict of interest.98-2.7Screening of requests for external appeal.98-2.8Random assignment of external appeals.98-2.9Responsibilities of health care plans.98-2.10Responsibilities of certified external appeal agents.98-2.11Enrollee rights and responsibilities.98-2.12Confidentiality.98-2.13Audits and examinations.