Requires contracts between insurers and hospitals to include provisions for electronically sharing medical records for utilization review.

New York A07981 amends the insurance law and public health law to mandate that contracts between insurers and hospitals must include provisions for electronically sharing medical records requested by the insurer or its utilization review agent. The bill also limits the use of disclosed records to individual claim care review, adjudication, and promoting patient privacy, prohibiting their use for auditing or detecting billing patterns. The changes apply to contracts issued, renewed, modified, or altered after the bill's effective date.

Requires contracts between insurers and hospitals to include provisions for electronically sharing medical records for utilization review.

New York A07981 amends the insurance law and public health law to mandate that contracts between insurers and hospitals must include provisions for electronically sharing medical records requested by the insurer or its utilization review agent. The bill also limits the use of disclosed records to individual claim care review, adjudication, and promoting patient privacy, prohibiting their use for auditing or detecting billing patterns. The changes apply to contracts issued, renewed, modified, or altered after the bill's effective date.