N.Y. Insurance Law § 3224: Standard claim forms; accident and health insurance

§ 3224. Standard claim forms; accident and health insurance. (a) The

superintendent shall establish standard claim forms for the services of

hospitals, physicians and other health care providers to be used for all

accident and health insurance claims. All insurers providing such

insurance shall accept said standard claim forms when submitted by a

hospital, physician or other health care provider covering services

rendered to an individual covered by the policy or when submitted by an

insured covering these same services. Corporations operating under

article forty-three of this chapter shall be required to use standard

claim forms as established by the superintendent pursuant to this

section.

(b) The adoption of any uniform claim forms by the superintendent

pursuant hereto shall not preclude an insurer from obtaining any

necessary additional information regarding a claim from the claimant,

provider of health care or treatment, or certifier of coverage.

(c) The superintendent is authorized and empowered to take such action

as he deems appropriate for the proper implementation hereof and to

provide by rule and regulation that any form which does not comply with

the provisions of this section shall not be issued or reissued. The

rules and regulations so adopted shall specify an effective date, which

shall not be less than one hundred eighty days after the date of

adoption or promulgation, after which no insurer may require any

hospital, physician, other health care provider or insured to complete

forms differing from those prescribed by the superintendent pursuant

hereto, other than additional requests for information pursuant to

subsection (b) hereof.