120.884 Prior Authorization – 24-Hour Maximum MSSNY will advocate that all prior authorization requests and appeals of PA denials be resolved in accordance with the existing requirements for expedited decisions of 72 hours for non-urgent care and 24 hours for emergency care. (HOD 2023-105)
120.883 Outsourcing of Administrative and Clinical Work to Different Time Zones – An Issue of Equity, Diversity, and Inclusion The Medical Society of the State of New York (MSSNY) will advocate that health plans that outsource their customer service facing operations to foreign countries in time zones separated by more than 4 hours from the
120.999 Health Insurer Abuses: MSSNY has urged the Superintendent of Insurance to enhance the means by which consumer and physician complaints regarding health insurance programs are addressed in a timely, informed and effective manner, through: (1) Development and identification of clearly defined complaint and review procedures; (2) Imposition of penalties designed
120.998 Reimbursement When Patients Refuse to Sign Health Insurance Forms: MSSNY is urgently requesting the New York State Department of Insurance to draft measures which would ensure that health insurance companies be obliged to reimburse physicians for documented medical services performed in accordance with the patient’s insurance plan whether or not the
120.997 Truth in Health Insurance: MSSNY takes the position that all health insurance literature and contracts should be mandated to use a standardized form, written in laymen’s terms (easy to understand language), wherein excluded diseases, diagnoses, and medical procedures are appropriately identified in policies of contract holders. As a means of
120.996 Standardized Insurance Claim Forms: SUNSET HOD 2014
120.995 Parity of Coverage for Mental Illness, Alcoholism and Substance Abuse in Medical Benefits Programs endorsed by MSSNY: SUNSET HOD 2014
120.994 Insurers To Cover Hepatitis B Immunization: SUNSET HOD 2014 (Reaffirmed HOD 2024)
120.993 Smoking Cessation Reimbursement: SUNSET HOD 2014
120.992 Insurance Companies To Cover Screening Mammography: MSSNY will seek requiring all health insurance products to cover mammography whenever the patient’s physician deems it medically appropriate. (HOD 1997-255; Modified and reaffirmed HOD 2014)
