Press Release
Acting Superintendent Adrienne A. Harris today announced that the New York State Department of Financial Services (DFS) is proposing a new regulation to protect consumers against healthcare provider directory misinformation. The proposed regulation will ensure that consumers who believe that a provider is in their network based on incorrect information provided by their insurer will pay no more than their in-network cost-sharing for services from that provider.
“Consumers should not be surprised by large out-of-network costs when they receive healthcare services from providers they believe are in-network based on incorrect information provided by their insurer,” said Acting Superintendent Harris. “This proposed regulation ensures New Yorkers have accurate and up-to-date information about which healthcare providers are in-network so that they can make healthcare decisions with more transparency. This proposal will help consumers protect their financial health and well-being.”
The proposed regulation addresses a top concern for consumer advocacy groups by protecting consumers against out-of-network charges when a provider is incorrectly listed as in-network in the insurer’s provider directory, when an insurer provides incorrect information about a provider’s network participation status in response to a request from a consumer, or when an insurer fails to respond to a consumer’s request for such information.
The proposed regulation ensures that consumers pay no...
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