New Jersey A5317 requires health insurance carriers to allow clinical laboratories and laboratory services providers to participate as preferred or.
New Jersey A5317 amends current law to require health insurance carriers to extend the same opportunity to clinical laboratories and laboratory services providers to participate as preferred or contracting providers in their provider networks as is currently allowed to pharmacies and pharmacists. The bill mandates that insurers cannot discriminate against or exclude willing providers based on corporate structure, size, location, or affiliation, provided the provider meets the insurer's credentialing standards and agrees to the reimbursement schedule and performance criteria.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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