Authorizes payments to nonparticipating or nonpreferred medical service providers.

The bill amends the insurance law to authorize payments to nonparticipating or nonpreferred medical service providers. Insurers must pay these providers at the usual and customary charge, which cannot be excessive or unreasonable. The insurer must notify the insured, subscriber, or covered person of such payments. The bill also prohibits providers from seeking advance payments from insureds until the claim has been adjudicated. The changes apply to health care claims submitted for payment after January 1, 2027.

Authorizes payments to nonparticipating or nonpreferred medical service providers.

The bill amends the insurance law to authorize payments to nonparticipating or nonpreferred medical service providers. Insurers must pay these providers at the usual and customary charge, which cannot be excessive or unreasonable. The insurer must notify the insured, subscriber, or covered person of such payments. The bill also prohibits providers from seeking advance payments from insureds until the claim has been adjudicated. The changes apply to health care claims submitted for payment after January 1, 2027.