You Down With 13(d)? Yeah, You Know Me: Responding to Health Insurer Reimbursement Requests

Occasionally, when a workers’ compensation claim is initiated, medical bills are paid by the claimant’s private health insurance. If this happens, you may receive correspondence from the health insurer asking for reimbursement. What should you do in that situation?

The short answer is that you have no obligation to respond to a direct demand for reimbursement. However, there is a process for reimbursement. This is where the Health Insurer Match Program (HIMP) comes into play.

Per the Board, “health insurers may submit information regarding payments …

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I Love You, You’re Perfect, Now Change: Latest Updates on Amending The Compassionate Care Act

At the end of 2018, the original sponsors of the Compassionate Care Act, New York State Senator Savino (D) and Assemblymember Gottfried (D), introduced legislation that will require the following public health insurance plans in New York State to cover medical marijuana:

  • Medicaid
  • Child Health Insurance Plan (CHIP)
  • Workers’ Compensation
  • Elderly Pharmaceutical Insurance Coverage (EPIC) Program, and
  • Family Health Plus Plan.

The bill remained inactive in the fall and has yet to be re-introduced since January 9, 2019 when the New York State legislative session …

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