Standard Claim Forms for Accident & Health Ins. (See also CL 23 (1979) on this listing).

February 6, 1978 SUBJECT: INSURANCE Circular Letter NO. 4 WITHDRAWN To: ALL ACCIDENT AND HEALTH INSURERS, EXCLUDING ARTICLE IX-C CORPORATIONS, LICENSED IN NEW YORK STATE RE: STANDARD CLAIM FORMS FOR ACCIDENT AND HEALTH INSURANCE Chapter 545 of the Laws of 1977 provides that on or before January 1, 1979, the Superintendent of Insurance shall establish standard claim forms for the services of hospitals, physicians and other health providers to be used for all accident and health insurance claims filed with commercial health insurers. Prior to the establishment of the standard claim forms, the Superintendent, according to Chapter 545 of the Laws of 1977, is to investigate and review claim forms currently utilized by insurance carriers and providers of medical services. As part of the Superintendent's investigation of currently utilized claim forms, it is requested that you forward copies of one hospital, one medical and one dental claim form now in use by your company which you consider to be the most widely accepted and efficient forms. In addition to sending the claim forms mentioned above, your comments and suggestions concerning the implementation of Chapter 545 of the Laws of 1977 would be appreciated. Your claim forms and comments should be sent, no later than March 1, 1978, to: James W. Clyne Deputy Superintendent NYS Insurance Department Agency Building One Empire State Plaza Albany, New York 12223 Very truly yours, [SIGNATURE] ALBERT B. LEWIS Superintendent of Insurance