120.916 Contract Non Renewals by Third Party Insurers: Problems With the Insurers’ Notification Process
The Medical Society of the State of New York will urge both the Department of Financial Services (DFS) and the Department of Health (DOH) to require that insurers verify and maintain the accuracy of the physicians’ directory and that the DFS require insurers send notices of contract non-renewal via Certified Mail – Return Receipt Requested.
MSSNY will remind physicians about the New York State DOH Provider and Health Plan Look-Up Tool, which can be accessed at https://pndslookup.health.ny.gov, By entering the physician’s name and county, the website will display the plan(s) and physician practice location(s). If needed, corrections to the practice location can be made and returned to the NYS DOH which will notify the plan(s) that correction is required. (HOD 2018-254)
