265.938 Contact Information Needed on EOMBs:
It is MSSNY’s policy that the New York State Department of Financial Services should impose a new requirement on all third-party payers, requiring that these plans format their Explanation of Medical Benefits (EOMBs) to include the name and phone number of a responsible, readily available individual on the carrier staff.
MSSNY will urge the New York State Department of Financial Services to require all third party payers to respond to telephone inquiries within twenty-four hours. (HOD 2001-260; Reaffirmed HOD 2009-259; Reaffirmed HOD 2019)
