S.1029

New Jersey S1029 mandates health insurers to collect and publicly disclose data on health insurance claims and automated utilization management.

New Jersey S1029 requires health insurers to collect and publicly disclose data on health insurance claims and decisions made using automated utilization management systems. Insurers must maintain data on claims submitted for in-network and out-of-network health care providers, the number of claims denied that were appealed, and the number of appeals sustained and overturned. The bill also mandates that insurers annually submit and publicly disclose data on claim rejection rates, the number of claims reviewed by a physician or medical director, and the average time taken to review claims.