New York A01421 prohibits health plans from contacting patients to recover overpayments.
New York A01421 amends the insurance law to prevent health plans from engaging in overpayment recovery efforts that involve contacting patients to seek reimbursement. The bill mandates that health plans provide written notice to healthcare providers before initiating recovery efforts, excluding duplicate payments. The notice must include details such as the patient's name, service date, payment amount, proposed adjustment, and an explanation of the adjustment. The prohibition on contacting patients applies to all overpayment recovery efforts.
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