State Codes and Statutes

Statutes > New-york > Isc > Article-32 > 3224-c

§  3224-c.  Coordination  of  benefits.  An insurer or organization or  corporation licensed or certified pursuant  to  article  forty-three  or  forty-seven  of  this chapter or article forty-four of the public health  law shall not deny a claim, either in whole or in  part,  on  the  basis  that  it is coordinating benefits and another insurer or organization or  corporation or other entity is liable for  the  payment  of  the  claim,  unless  it  has a reasonable basis to believe that the insured has other  health insurance coverage which is  primary  for  that  benefit.  If  an  insurer or organization or corporation does not have current information  from the insured regarding other coverage, and requests such information  in  accordance with subsection (b) of section three thousand two hundred  twenty-four-a of this article, and no  information  is  received  within  forty-five  days,  the claim shall be adjudicated provided, however, the  claim shall not be denied based  on  the  insurer,  or  organization  or  corporation not having received such information.

State Codes and Statutes

Statutes > New-york > Isc > Article-32 > 3224-c

§  3224-c.  Coordination  of  benefits.  An insurer or organization or  corporation licensed or certified pursuant  to  article  forty-three  or  forty-seven  of  this chapter or article forty-four of the public health  law shall not deny a claim, either in whole or in  part,  on  the  basis  that  it is coordinating benefits and another insurer or organization or  corporation or other entity is liable for  the  payment  of  the  claim,  unless  it  has a reasonable basis to believe that the insured has other  health insurance coverage which is  primary  for  that  benefit.  If  an  insurer or organization or corporation does not have current information  from the insured regarding other coverage, and requests such information  in  accordance with subsection (b) of section three thousand two hundred  twenty-four-a of this article, and no  information  is  received  within  forty-five  days,  the claim shall be adjudicated provided, however, the  claim shall not be denied based  on  the  insurer,  or  organization  or  corporation not having received such information.

State Codes and Statutes

State Codes and Statutes

Statutes > New-york > Isc > Article-32 > 3224-c

§  3224-c.  Coordination  of  benefits.  An insurer or organization or  corporation licensed or certified pursuant  to  article  forty-three  or  forty-seven  of  this chapter or article forty-four of the public health  law shall not deny a claim, either in whole or in  part,  on  the  basis  that  it is coordinating benefits and another insurer or organization or  corporation or other entity is liable for  the  payment  of  the  claim,  unless  it  has a reasonable basis to believe that the insured has other  health insurance coverage which is  primary  for  that  benefit.  If  an  insurer or organization or corporation does not have current information  from the insured regarding other coverage, and requests such information  in  accordance with subsection (b) of section three thousand two hundred  twenty-four-a of this article, and no  information  is  received  within  forty-five  days,  the claim shall be adjudicated provided, however, the  claim shall not be denied based  on  the  insurer,  or  organization  or  corporation not having received such information.