New York New York ER – 10.15.19 I.  Scope and Applicability A.  Who is subject to the state’s external review laws? Applies to final adverse determination by a health plan. NY CLS Ins § 4910(a) HMOs? Yes. Insurers? Yes. Utilization review organizations? Yes. ACOs? Yes. PPOs? Yes. Third party administrators? Yes. B.  What exemptions are […]

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