AIG PROVIDER NETWORK RULES for NEW YORK

Provider Selection
Unless in a certified program the employee must select the treating provider from an extensive list of authorized providers developed by the Workers' Compensation Board (WCB).

Employers may recommend preferred providers to injured workers with their written consent post-injury.

Provider Lists
Provider lists and directories may be utilized in all counties.

Managed Care Options
Certified PPO program: Employees have restricted choice of provider - employees working within certified counties are required to treat with a PPO provider for up to 30 days after the initial treatment by a PPO provider.

Additional Regulation
Certified PPO program: employees must be given a written description of the program pre-injury, and the Employee Handbook post-injury or upon request. These employee notices and handbooks are available and distributed by AIG Claims, Inc. Pre-Injury Consultant.

Employee Education
The state has mandated that every employee be educated on their rights within the certified PPO plan.

Managed Care Network: MetraComp
Medical PPO Network: MetraComp
Pharmacy Network: myMatrixx
DME Network: Healthesystems