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New York prompt pay law dental

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Under N.Y. Ins. Law §3224-a, the New York payment deadline is 30 days (internet or electronic mail) and 45 days (paper, facsimile, or other means). Late payment carries interest "of the greater of the rate equal to the rate set by the commissioner of taxation and finance for corporate taxes pursuant to paragraph one of subsection (e) of section one thousand ninety-six of the tax law or twelve percent per annum, to be computed from the date the claim or health care payment was required to be made" (§3224-a(c)(1)). Dental applicability: Section 3224-a applies to "all health care claims submitted under contracts or agreements" and to "all bills for health care services rendered by health care providers pursuant to such contracts or agreements," and it binds an insurer or an organization or corporation licensed or certified under Insurance Law article 43 or 47 or Public Health Law article 44. A self-funded private-employer (ERISA) plan is generally beyond this statute's reach and runs on the federal claims-procedure clock instead — but that comes from the courts reading 29 U.S.C. § 1144, not from its text, and it is not categorical: a self-funded governmental or church plan is not an ERISA plan at all, § 1144(b)(6) leaves multiple employer welfare arrangements open to state insurance law, and nothing in § 1144 bars a state from reaching the third-party administrator or the network contract.

Last verified
2026-08-30
Reviewer
None — owner-published

Dentovio is an independent publisher, not a law firm, insurance department, or government agency. This page was drafted with AI assistance and read against the primary sources linked here, with a per-claim verification record — quote, statutory pinpoint, and the URL actually opened — behind every deadline, rate, and applicability verdict in all fifty-one jurisdictions. It has not been reviewed by a credentialed attorney or dental billing specialist. These pages summarize state prompt-pay statutes as read against the official sources on the date shown, focusing on how each statute treats dental claims. Statutes change and their application turns on plan type, contract status, and claim facts. Educational reference only — not legal advice; confirm current law with the state insurance department or a licensed attorney before acting on a specific claim.

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Source citations

  • PROMPTPAY-NEW-YORK-1 N.Y. Ins. Law §3224-a — New York State Senate (current revision) (nysenate.gov)
  • PROMPTPAY-NEW-YORK-2 Maimonides Med. Ctr. v. First United Am. Life Ins. Co., 116 AD3d 207 (2d Dep't 2014) (nycourts.gov)

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