165.834 Payment for Pre-Authorized/Pre-Certified Procedures
The Medical Society of the State of New York continue to advocate for legislation, regulation or other appropriate means to ensure that all health plans including those regulated by ERISA, pay for services that are pre-authorized, or pre-certified by such health plan, including services that are deemed pre-authorized or pre-certified because the physician participates in a “Gold Card” program operated by that health plan.
The New York delegation will advance this resolution for consideration at the next AMA Annual meeting. (HOD 2024 – 59)
