Chapter

Chapter 30

N.J. Stat. Ann. § 17B:30-1— Declaration of purpose
N.J. Stat. Ann. § 17B:30-2— Practices prohibited
N.J. Stat. Ann. § 17B:30-3— Misrepresentations and false advertising of policies or annuity contracts
N.J. Stat. Ann. § 17B:30-4— False information and advertising
N.J. Stat. Ann. § 17B:30-5— False financial statements
N.J. Stat. Ann. § 17B:30-6— "Twisting" prohibited
N.J. Stat. Ann. § 17B:30-7— Defamation
N.J. Stat. Ann. § 17B:30-8— Boycott, coercion and intimidation
N.J. Stat. Ann. § 17B:30-9— Stock operations and advisory board contracts
N.J. Stat. Ann. § 17B:30-10— Stock acquisition, common management
N.J. Stat. Ann. § 17B:30-11— Interlocking directorate
N.J. Stat. Ann. § 17B:30-12— Discrimination prohibited; terms defined
N.J. Stat. Ann. § 17B:30-13— Rebates and special inducements
N.J. Stat. Ann. § 17B:30-13.1— Unfair claim settlement practices
N.J. Stat. Ann. § 17B:30-13.2— Record of complaints
N.J. Stat. Ann. § 17B:30-14— Exceptions to discrimination and rebates
N.J. Stat. Ann. § 17B:30-15— Enumeration of acts not exclusive
N.J. Stat. Ann. § 17B:30-16— Commissioner's powers of investigation
N.J. Stat. Ann. § 17B:30-17— Desist orders for prohibited practices; penalty
N.J. Stat. Ann. § 17B:30-18— Procedures as to undefined practices
N.J. Stat. Ann. § 17B:30-19— Appeal by intervenor
N.J. Stat. Ann. § 17B:30-20— Violation of cease and desist order; penalty
N.J. Stat. Ann. § 17B:30-21— Provisions of chapter additional to existing laws
N.J. Stat. Ann. § 17B:30-22— Immunity from prosecution
N.J. Stat. Ann. § 17B:30-23— Timetable for implementation of electronic receipt, transmission of health care claim information; standard forms
N.J. Stat. Ann. § 17B:30-24— Regulations
N.J. Stat. Ann. § 17B:30-25— Thomas A. Edison State College to study, monitor effectiveness of electronic data interchange technology, electronic health records
N.J. Stat. Ann. § 17B:30-26— Definitions relative to payment of health and dental insurance plans
N.J. Stat. Ann. § 17B:30-27— Applicability
N.J. Stat. Ann. § 17B:30-28— Provision of information
N.J. Stat. Ann. § 17B:30-29— Provision of toll-free telephone number
N.J. Stat. Ann. § 17B:30-30— Maintenance of claims records; audit required
N.J. Stat. Ann. § 17B:30-31— Additional record of claims
N.J. Stat. Ann. § 17B:30-32— Overdue capitation payment
N.J. Stat. Ann. § 17B:30-33— Regulations
N.J. Stat. Ann. § 17B:30-34— Inapplicability of act
N.J. Stat. Ann. § 17B:30-34.1— Health care provider, carrier, more than one method of payment, reimbursement; definitions
N.J. Stat. Ann. § 17B:30-35— Definitions relative to standardized pharmacy identification cards
N.J. Stat. Ann. § 17B:30-36— Issuance of standardized pharmacy identification information, card to primary insured
N.J. Stat. Ann. § 17B:30-37— Exceptions for issuance of card
N.J. Stat. Ann. § 17B:30-38— Provision of new pharmacy identification card
N.J. Stat. Ann. § 17B:30-39— Rules, regulations
N.J. Stat. Ann. § 17B:30-40— Definitions, construction, regulations on notice of premium increase to employers
N.J. Stat. Ann. § 17B:30-41— Findings, declarations relative to collection of unpaid hospital accounts
N.J. Stat. Ann. § 17B:30-42— Definitions relative to collection of unpaid hospital accounts
N.J. Stat. Ann. § 17B:30-44— "New Jersey Hospital Care Payment Fund."
N.J. Stat. Ann. § 17B:30-45— Authority of department
N.J. Stat. Ann. § 17B:30-46— Decisions of department constitute final agency action
N.J. Stat. Ann. § 17B:30-47— Procedures for participating hospitals
N.J. Stat. Ann. § 17B:30-55— Violations, penalties; rules, regulations
N.J. Stat. Ann. § 17B:30-55.1— Short title
N.J. Stat. Ann. § 17B:30-55.2— Findings, declarations
N.J. Stat. Ann. § 17B:30-55.3— Definitions
N.J. Stat. Ann. § 17B:30-55.4— Payer, information, utilization management, processing, payment of claims
N.J. Stat. Ann. § 17B:30-55.5— Payer, respond, hospital, health care provider request, prior authorization
N.J. Stat. Ann. § 17B:30-55.6— Carrier, respond, prior authorization requests, medication coverage submitted, NCPDP SCRIPT Standard for ePA transactions
N.J. Stat. Ann. § 17B:30-55.7— Prior authorization, chronic, long-term care condition, validity, exception, timeline
N.J. Stat. Ann. § 17B:30-55.8— Prior authorization, denial, limitation imposed by payer, physician, scope of actions
N.J. Stat. Ann. § 17B:30-55.9— Prior authorization, defined number, discrete services, set time frame, validity, exception
N.J. Stat. Ann. § 17B:30-55.10— Payer to honor prior authorization granted to covered person by previous payer, initial coverage, upon receipt of documentation
N.J. Stat. Ann. § 17B:30-55.11— Denial of prior authorization, communicated via written communication agreed to by payer, hospital, health care provider
N.J. Stat. Ann. § 17B:30-55.12— Adverse determinations, appeal, reviewed by physician
N.J. Stat. Ann. § 17B:30-55.13— Payer shall not deny reimbursement, hospital, health care provider in compliance, circumstances,
N.J. Stat. Ann. § 17B:30-55.14— Payer, reimbursement according to provider contract, medically necessary emergency, urgent care covered under plan
N.J. Stat. Ann. § 17B:30-55.15— Failure by payer to comply with deadline, health care services subject to review, automatic authorization
N.J. Stat. Ann. § 17B:30-55.16— Statistics available regarding prior authorization approvals, denials, website
N.J. Stat. Ann. § 17B:30-55.17— Liberal construction
N.J. Stat. Ann. § 17B:30-56— Rules, regulations
N.J. Stat. Ann. § 17B:30-57— Liberal construction
N.J. Stat. Ann. § 17B:30-58— Definitions relative to reimbursement for certain ambulance services
N.J. Stat. Ann. § 17B:30-59— Assignment of benefits to service provider of right to receive reimbursement for ambulance service
N.J. Stat. Ann. § 17B:30-60— Definitions relative to certain dental provider networks
N.J. Stat. Ann. § 17B:30-61— Third party access
N.J. Stat. Ann. § 17B:30-62— Inapplicability
N.J. Stat. Ann. § 17B:30-63— Rules, regulations