New Jersey Respect for Physicians Act mandates prompt insurer responses to prior authorization requests for health care services.
The New Jersey Respect for Physicians Act requires health insurance carriers to contact hospitals and physicians within four hours of receiving a prior authorization request for health care services. It mandates that insurers respond to requests for authorization for inpatient hospital services within 24 hours, and for outpatient or other settings within 48 hours. If additional information is needed, insurers must notify the hospital or physician within the specified time frames and identify the required information.
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- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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