[New York] Physician access and appointment availability standards

By April 1, 2026: Front desk and administrative staff must verify that all PCPs in the Anthem New York network have documented 24/7 access methods and back-up physician coverage in place. Billing team should flag any claims from non-compliant PCPs during verification audits. Ensure all PCP contact information (names, phone numbers, addresses, back-up designations) is current in the billing system and communicated to members. Document appointment scheduling compliance by tracking wait times and appointment availability against the policy thresholds (routine baseline physical within 4 weeks, urgent care within 24 hours, etc.). Implement appointment reminders to minimize no-shows and late cancellations. Monitor Anthem audits conducted via phone calls and scheduling analysis; non-compliance findings (being referred to ER or told to call back during business hours) must be corrected immediately. This is an operational/credentialing requirement rather than a billing change, but billing teams should be aware for network validation purposes.