120.922              Insurers Withhold Key Financial Information from Out-of-Network Physicians

MSSNY will seek legislation or regulation which would require important information contained in a Claim Remittance or Explanation of Medical Benefits be sent to all treating physicians. MSSNY will seek legislation or regulation which would prohibit insurers from using the term “co-insurance” when referring to the obligation of individual policy holders and suggest insurers to use a more applicable term such as “patient’s responsibility.” (HOD 2017-110)