Section 39:6A-5.4 - Electronic bills.

NJ Rev Stat § 39:6A-5.4 (2019) (N/A)

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39:6A-5.4 Electronic bills.

2. a. All healthcare providers or their billing representative shall submit electronic bills for payment which shall be completed on standardized forms following the guidelines established pursuant to this act.

b. Insurance carriers, medical management companies, or their third-party administrators shall accept electronic bills and shall comply with the guidelines.

c. Confidentiality of medical information submitted on electronic bills for payment of medical services pursuant to this act shall be maintained.

d. Insurance carriers or their third-party administrators shall acknowledge receipt of a complete electronic medical bill to the party that sent the complete electronic medical bill in compliance with the guidelines.

e. Payment for a complete electronic medical bill deemed compensable by the insurance carrier shall be made in accordance with subsection g. of section 5 of P.L.1972, c.70 (C.39:6A-5), provided, however, that insurance carriers or their third party administrators may establish shorter payment deadlines through contracts or agreements with health care providers or their billing representatives in a non-prescribed format or timeline.

L.2017, c.369, s.2.

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