New York S06255 amends insurance law to change how insurers handle reimbursement for ambulance services.

New York S06255 amends the insurance law to change how insurers handle reimbursement for ambulance services. It requires insurers to submit payments directly to in-network ambulance providers. For out-of-network providers, insurers must issue a joint check to both the insured and the provider. The check must specify both parties as payees and the amount should be at the usual and customary charge, not excessive or unreasonable. If the provider has an assignment of benefits on file with the insurer, the insurer must accept it and issue reimbursement solely to the provider.

New York S06255 amends insurance law to change how insurers handle reimbursement for ambulance services.

New York S06255 amends the insurance law to change how insurers handle reimbursement for ambulance services. It requires insurers to submit payments directly to in-network ambulance providers. For out-of-network providers, insurers must issue a joint check to both the insured and the provider. The check must specify both parties as payees and the amount should be at the usual and customary charge, not excessive or unreasonable. If the provider has an assignment of benefits on file with the insurer, the insurer must accept it and issue reimbursement solely to the provider.