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Inside the New York Workers’ Compensation Board’s New Payor Compliance Procedures

October 23, 2015

The New York Workers’ Compensation Board has implemented a new procedure that changes the way carriers manage claims per Section 25(2)(a), which will affect both carriers and employers. The new procedure requires carriers to accept or controvert a claim “within 18 days after a disability or within 10 days after the employer has knowledge of the alleged accident, whichever is greater.”
This new protocol relating to the 18/10 timeframe contrasts starkly to the common previous practice of many carriers. In addition to the timeframe difference, changes also impact how to deal with cases without the receipt of medical evidence. Failure to comply with the new procedures could result in fines.

For history, an in-depth analysis, and situational examples, read the full article here.