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PIP Information for Health Care Providers
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Automobile Medical Fee Schedule PIP Alternate Dispute Resolution
Uniform Attending Provider Treatment Plan Form Prompt Payment Regulation Information
N.J.A.C. 11:3-4 Medical Protocols Rule
(Care Paths, Decision Point Review, Precertification)		 Reference/Superceded Materials
21-Day Notice Rule  
 
Notice of Substantial Changes Upon Adoption to Proposed New Rules, Amendments and Repeals, Personal Injury Protections - Submit Comments by April 21, 2012

 

Personal Injury Protection Benefits: Medical Protocols; Diagnostic Tests
Medical Fee Schedules: Automobile Insurance Personal Injury Protection and Motor Bus Medical Expense Insurance Coverage
 Proposed Changes: N.J.A.C. 11:3-4.2, 4.4, 4.9, 5.6, 5.12, 29.1, 29.2, 29.5 and 11:3-29
Appendix Exhibits 1 and 2, and new Appendix, Exhibit 7

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Current Automobile Medical Fee Schedule

Auto Medical Fee Schedule Rule and Exhibits
Fee Schedule Rule Text - PDF or MS Word (Effective for treatment rendered on or after August 10, 2009)
Exhibit 1 Physicians' Fee Schedule - PDF or MS Excel (Effective for treatment rendered on or after August 10, 2009)
Exhibit 2 Dental Fee Schedule - PDF or MS Excel (Effective for treatment rendered on or after July 6, 2009)
Exhibit 3 Home Care Services - PDF or MS Excel (Effective for treatment rendered on or after June 15, 2009)
Exhibit 4 Ambulance Services - PDF or MS Excel (Effective for treatment rendered on or after August 10, 2009)
Exhibit 5 Durable Medical Equipment - PDF or MS Excel (Effective for treatment rendered on or after August 10, 2009)
Exhibit 6 CPT Codes Subject to Daily Maximum - PDF or MS Excel (Effective for treatment rendered on or after August 10, 2009)
Exhibit 7 Ambulatory Surgical Center Fee Schedule - PDF or MS Excel (Effective for treatment rendered on or after August 10, 2009)
Proposed Substantial Changes to Medical Fee Schedule Rule - Submit comments by April 21, 2012
Proposed Amendments to Medical Fee Schedule Rule (August 2011) - Comment period ended
Order A10-113: In Re the Use of the Ingenix MDR Database for the Calculation of Usual, Customary and Reasonable Fees Pursuant to N.J.A.C. 11:3-29.4(e)
Bulletin 09-26: Auto Medical Fee Schedule Rule Implementation
Automobile Medical Fee Schedule Frequently Asked Questions
Appellate Division Case: In Re Adoption of N.J.A.C. 11:3-29 by State of New Jersey, Department of Banking and Insurance (August 10, 2009)
N.J.A.C. 11:3-27: Order of Benefit Determination Between Automobile Insurance Personal Injury Protection and Health Insurance
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Uniform Attending Provider Treatment Plan Form
All providers treating PIP patients must use the Uniform Attending Provider Plan Form to submit Decision Point and Precertification Requests to Insurers.
Uniform Attending Provider Treatment Plan Form - PDF or MS Excel
List of Auto Insurers and web sites
Frequently Asked Questions
Order A04-143
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N.J.A.C. 11:3-4 Medical Protocols Rule (Care Paths, Decision Point Review, Precertification)
Full text of Medical Protocols Rule (Effective July 6, 2010)
Full text of Medical Protocols Rule Appendix
Proposed Substantial Changes upon Adoption to Medical Protocols Rule - Submit comments by April 21, 2012
Bulletin 12-03: Withdrawal of Bulletin No. 10-22
Proposed Amendments to Medical Protocols Rule (August 2011) - Comment period ended
Adopted Amendments to Medical Protocols Rule (July 2010)
Implementation of Protocols Rule Amendments FAQs
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21-Day Notice Rule
Text of 21-Day Notice Rule
List of Insurer Addresses to Send the Form
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PIP Alternate Dispute Resolution
Full Text of Alternate Dispute Resolution Rule (Effective July 2010)
Administrator Quarterly Reports
2012 2011 2010 2009
1st Quarter 1st Quarter 1st Quarter 1st Quarter
  2nd Quarter 2nd Quarter 2nd Quarter
  3rd Quarter 3rd Quarter 3rd Quarter
  4th Quarter 4th Quarter 4th Quarter
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Proposed Substantial Changes to Alternate Dispute Resolution Rule - Submit comments by April 21, 2012
Proposed Amendments to PIP Alternate Dispute Resolution Rule(August 2011) - Comment period ended
Bulletin 10-30: Interpretation of DOBI Rules on PIP Reimbursements
Adopted Amendments to PIP Alternate Dispute Resolution Rule (June 2009)
Notice to the Bar Concerning the Participation of Insurance Company Employees in PIP Arbitrations (March 18, 2009)

PIP ADR Administrator: Forthright
Certified Medical Review Organizations
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Prompt Payment Regulation Information
Prompt Pay Statute (N.J.S.A. 39:6A-5g)
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Reference/Superceded Materials
More information
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OPRA
 OPRA is a state law that was enacted to give the public greater access to government records maintained by public agencies in New Jersey.
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New Jersey Department of Banking and Insurance