130.986           Timely Return of Properly Endorsed This Party Payor Contracts to Participating Physicians:

The Medical Society of the State of New York will seek appropriate legislative or regulatory action to require that upon receipt of physician-signed contracts by the health maintenance organization or insurance plan for participation in such plans, the HMO or insurance plan must be required to return a fully executed contract to the physician within 30 days of completion of such organization’s credentialing of the physician.  Such legislation shall require the HMO or insurer to provide notice to the physician within 120 days of submission of the physician’s signed contract of any additional information necessary to the completion of the physician credentialing process; and shall require that HMOs or insurers shall have no more than 30 days from receipt of all necessary credentialing information to complete the credentialing process.  (HOD 1997-59; Reaffirm HOD 2014; Reaffirmed HOD 2024)