- Summary
- Actions
- Committee Votes
- Floor Votes
- Memo
- Text
- LFIN
- Chamber Video/Transcript
A03707 Summary:
| BILL NO | A03707 |
| SAME AS | SAME AS S04833 |
| SPONSOR | Weprin |
| COSPNSR | |
| MLTSPNSR | |
| Amd §§3224-b, 3224-a & 4900, Ins L; amd §4900, Pub Health L | |
| Ensures the decision to downcode an insurance claim is recognized as an adverse determination; prohibits health plans from reversing or altering medical necessity determinations made by a utilization review agent or external appeals agent as a result of an audit of claims. | |