Insurance Law 4917 — Legislation
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SECTION 4916
Oversight and surveillance of the external appeal process
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TITLE 2
Right to External Appeal
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SECTION 4917
Hold harmless
Insurance (ISC) CHAPTER 28, ARTICLE 49, TITLE 2
§ 4917. Hold harmless. A health care provider requesting an external
appeal of a concurrent adverse determination, including when the health
care provider requests an external appeal as the insured's designee,
shall not pursue reimbursement from the insured for services determined
not medically necessary by the external appeal agent, except to collect
a copayment, coinsurance or deductible.