New York Codes, Rules and Regulations (NYCRR)

Title 12 Part 325

Department of Labor

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12 NYCRR 325-1.1 - Application for compensation medical bureau license required

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12 NYCRR 325-1.2 - Reports of specialists

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12 NYCRR 325-1.3 - Reports of treating providers

Related State Register notice: Adopted rule WCB-23-20-00001-A. Published Oct 14, 2020. Notice effective date: Oct 14, 2020.

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12 NYCRR 325-1.4 - Authorization for special services

Related State Register notice: Adopted rule WCB-42-20-00010-A. Published Mar 3, 2021. Notice effective date: Jun 7, 2021.

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12 NYCRR 325-1.5 - Choice of specialist

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12 NYCRR 325-1.6 - The impairment guidelines for schedule loss of use determinations

Related State Register notice: Proposed rule WCB-25-26-00003-P. Published Jun 24, 2026.

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12 NYCRR 325-1.7 - Duties of superseding physician

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12 NYCRR 325-1.8 - Emergency medical aid and telemedicine

Related State Register notice: Emergency rule WCB-17-23-00001-E. Published Apr 26, 2023. Notice effective date: Apr 11, 2023.

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12 NYCRR 325-1.9 - Earlier source heading: [Repealed]

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12 NYCRR 325-1.10 - X-ray, consultation bills

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12 NYCRR 325-1.11 - Copies of hospital records

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12 NYCRR 325-1.12 - Termination of emergency status

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12 NYCRR 325-1.13 - Insurance company medical inspectors

Related State Register notice: Proposed rule WCB-28-21-00009-P. Published Jul 14, 2021.

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12 NYCRR 325-1.14 - Earlier source heading: [Repealed]

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12 NYCRR 325-1.15 - License for emergency treatment not required

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12 NYCRR 325-1.16 - Advertising by physicians

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12 NYCRR 325-1.17 - Notice to employees form

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12 NYCRR 325-1.18 - Physician fees for hearing purposes

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12 NYCRR 325-1.19 - Hospital bills

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12 NYCRR 325-1.20 - Payment of bills for treatment or services performed prior to October 1, 1994

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12 NYCRR 325-1.21 - Failure to treat

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12 NYCRR 325-1.22 - Objections by the special fund for reopened cases to medical and hospital bills

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12 NYCRR 325-1.23 - Workers' compensation claimant's agreement to pay medical costs in event of the claimant's failure to prosecute the claim or in event of the disallowance of the claim

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12 NYCRR 325-1.24 - Earlier source heading: [Repealed]

Related State Register notice: Adopted rule WCB-45-19-00010-A. Published Jan 29, 2020. Notice effective date: Jan 29, 2020.

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12 NYCRR 325-1.25 - Payment of and objections to medical bills

Related State Register notice: Adopted rule WCB-26-21-00001-A. Published Oct 27, 2021. Notice effective date: Nov 1, 2021.

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12 NYCRR 325-2.1 - Statement of purpose

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12 NYCRR 325-2.2 - Parties authorized to direct or recommend care of injured workers

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12 NYCRR 325-2.3 - Employer or carrier recommended networks or providers

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12 NYCRR 325-2.4 - Prescribed consent forms

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12 NYCRR 325-2.5 - Waiver agreements related to medical benefits or treatment

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12 NYCRR 325-2.6 - List of authorized physicians

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12 NYCRR 325-2.7 - Earlier source heading: [Repealed]

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12 NYCRR 325-2.8 - Earlier source heading: 325-2.8 to 325-2.9 [Repealed]

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12 NYCRR 325-2.10 - Investigation of complaints

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12 NYCRR 325-3.1 - Authorization of bureau

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12 NYCRR 325-3.2 - Location of bureau

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12 NYCRR 325-3.3 - Determination of physician's hours

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12 NYCRR 325-3.4 - Bureau facilities

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12 NYCRR 325-3.5 - Limited licenses

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12 NYCRR 325-3.6 - License to cover only employer's employees

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12 NYCRR 325-3.7 - First-aid stations

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12 NYCRR 325-3.8 - Notice to employees to be posted

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12 NYCRR 325-3.9 - License fee for bureaus operated by institutions for profit

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12 NYCRR 325-3.10 - Authorization of medical center jointly operated by labor and management

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12 NYCRR 325-4.1 - Authorization of hospitals and health maintenance organizations to provide out-patient medical care

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12 NYCRR 325-4.2 - Duties of hospitals and health maintenance organizations

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12 NYCRR 325-4.3 - Failure to treat

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12 NYCRR 325-4.4 - Inspections and investigations by the Department of Health

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12 NYCRR 325-4.5 - Suspension or revocation of authorization

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12 NYCRR 325-4.6 - Procedure for hearing

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12 NYCRR 325-5.1 - Statement of purpose

Related State Register notice: Adopted rule WCB-14-15-00009-A. Published Apr 6, 2016. Notice effective date: Jun 1, 2016.

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12 NYCRR 325-5.2 - Definitions

Related State Register notice: Adopted rule WCB-14-15-00009-A. Published Apr 6, 2016. Notice effective date: Jun 1, 2016.

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12 NYCRR 325-5.3 - Overview of the HIMP process

Related State Register notice: Adopted rule WCB-14-15-00009-A. Published Apr 6, 2016. Notice effective date: Jun 1, 2016.

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12 NYCRR 325-5.4 - Eligibility to participate in the HIMP process

Related State Register notice: Adopted rule WCB-14-15-00009-A. Published Apr 6, 2016. Notice effective date: Jun 1, 2016.

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12 NYCRR 325-5.5 - General procedure for data-matching

Related State Register notice: Adopted rule WCB-14-15-00009-A. Published Apr 6, 2016. Notice effective date: Jun 1, 2016.

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12 NYCRR 325-5.6 - Payment for searches; process for submission of search requests

Related State Register notice: Adopted rule WCB-14-15-00009-A. Published Apr 6, 2016. Notice effective date: Jun 1, 2016.

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12 NYCRR 325-5.7 - Annual reporting

Related State Register notice: Adopted rule WCB-14-15-00009-A. Published Apr 6, 2016. Notice effective date: Jun 1, 2016.

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12 NYCRR 325-5.8 - Confidentiality of information

Related State Register notice: Adopted rule WCB-14-15-00009-A. Published Apr 6, 2016. Notice effective date: Jun 1, 2016.

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12 NYCRR 325-5.9 - Waiver of timely submission of bills

Related State Register notice: Adopted rule WCB-14-15-00009-A. Published Apr 6, 2016. Notice effective date: Jun 1, 2016.

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12 NYCRR 325-5.10 - Earlier source heading: [Repealed]

Related State Register notice: Adopted rule WCB-14-15-00009-A. Published Apr 6, 2016. Notice effective date: Jun 1, 2016.

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12 NYCRR 325-5.11 - Earlier source heading: [Repealed]

Related State Register notice: Adopted rule WCB-14-15-00009-A. Published Apr 6, 2016. Notice effective date: Jun 1, 2016.

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12 NYCRR 325-6.1 - Definitions

Related State Register notice: Adopted rule WCB-14-15-00009-A. Published Apr 6, 2016. Notice effective date: Jun 1, 2016.

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12 NYCRR 325-6.2 - Filing requests for reimbursement

Related State Register notice: Adopted rule WCB-14-15-00009-A. Published Apr 6, 2016. Notice effective date: Jun 1, 2016.

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12 NYCRR 325-6.3 - HIMP-1 filing procedures and documentation

Related State Register notice: Adopted rule WCB-14-15-00009-A. Published Apr 6, 2016. Notice effective date: Jun 1, 2016.

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12 NYCRR 325-6.4 - Objections to requests for reimbursement

Related State Register notice: Adopted rule WCB-14-15-00009-A. Published Apr 6, 2016. Notice effective date: Jun 1, 2016.

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12 NYCRR 325-6.5 - Eligibility for arbitration

Related State Register notice: Adopted rule WCB-14-15-00009-A. Published Apr 6, 2016. Notice effective date: Jun 1, 2016.

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12 NYCRR 325-6.6 - Time to request arbitration

Related State Register notice: Adopted rule WCB-14-15-00009-A. Published Apr 6, 2016. Notice effective date: Jun 1, 2016.

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12 NYCRR 325-6.7 - Initiation of arbitration

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12 NYCRR 325-6.8 - Withdrawal of arbitration requests

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12 NYCRR 325-6.9 - Time and place of arbitration; notification

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12 NYCRR 325-6.10 - Fee structure

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12 NYCRR 325-6.11 - Hearing of cases

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12 NYCRR 325-6.12 - Decisions of the arbitrator; awards; interest

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12 NYCRR 325-6.13 - Enforcement and appeals of decisions

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12 NYCRR 325-6.14 - Dispute forum rules

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12 NYCRR 325-6.15 - Means of service

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12 NYCRR 325-6.16 - Party modification of HIMP

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12 NYCRR 325-6.17 - Qualifications of arbitrators

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12 NYCRR 325-6.18 - Appointment of arbitrators

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12 NYCRR 325-6.19 - Oaths

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12 NYCRR 325-7.1 - Definitions

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12 NYCRR 325-7.2 - Insurance carrier requirements to contract with diagnostic testing networks

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12 NYCRR 325-7.3 - Requirements to be a diagnostic testing network

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12 NYCRR 325-7.4 - Services provided by diagnostic testing networks and affiliated network providers

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12 NYCRR 325-7.5 - Procedures for use of diagnostic testing network

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12 NYCRR 325-7.6 - Alterations

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12 NYCRR 325-7.7 - Improper influence in diagnostic testing

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12 NYCRR 325-8.1 - Preferred provider organization treatment; alternative care

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12 NYCRR 325-8.2 - Employers' responsibilities

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12 NYCRR 325-8.3 - Preferred provider organization providers' responsibilities

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12 NYCRR 325-8.4 - Reporting requirements

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12 NYCRR 325-8.5 - Improper influence or involvement in medical treatment

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12 NYCRR 325-8.6 - Applicability of board rules and regulations

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