New York S04123 amends the financial services law to preserve health care providers' access to the independent dispute resolution process.
New York S04123 amends the financial services law to redefine "health care plan" and adjust criteria for determining a reasonable fee in disputes. It ensures health care providers can access the independent dispute resolution process by considering factors like fees paid to providers for similar services and the level of training and experience of similarly qualified providers. The changes apply to various health care plans, including insurers and health maintenance organizations.
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- Core Provisions
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- Legal Framework
- Critical Issues
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