New Jersey A3599 prohibits health insurance carriers from denying payment of a claim while seeking coordination of benefits information.

New Jersey A3599 amends existing laws to prohibit health insurance carriers from denying payment of a claim while seeking coordination of benefits information. The bill establishes an internal appeal mechanism for health care providers to resolve disputes with payers. It also sets forth procedures for arbitration if the internal appeal is not resolved. Additionally, the bill mandates that payers acknowledge receipt of claims within two working days and pay claims within specified timeframes. Violations of these provisions may result in civil penalties.

New Jersey A3599 prohibits health insurance carriers from denying payment of a claim while seeking coordination of benefits information.

New Jersey A3599 amends existing laws to prohibit health insurance carriers from denying payment of a claim while seeking coordination of benefits information. The bill establishes an internal appeal mechanism for health care providers to resolve disputes with payers. It also sets forth procedures for arbitration if the internal appeal is not resolved. Additionally, the bill mandates that payers acknowledge receipt of claims within two working days and pay claims within specified timeframes. Violations of these provisions may result in civil penalties.