New PIP & Workers Comp Electronic Billing Laws Enacted in New Jersey
New Jersey has passed state laws mandating that bills for Personal Injury Protection (PIP) and Workers’ Compensation claims must be billed electronically.
How does this affect you?
For chiropractors in the state of New Jersey, this means that you’ll need a clearinghouse house that offers electronic submission for your claims. ChiroTouch has an integrated clearinghouse through its CTProClear service that can securely and easily manage this for you. There’s no delay on your payments with CTProClear. For more information or to get started with CTProClear, contact your ChiroTouch representative.
Please visit the Association of New Jersey Chiropractors for more information: https://www.anjc.info/aws/ANJC/pt/sp/home_page
Below is a copy of the legislature explaining the new mandate
An Act concerning electronic submission of certain automobile insurance claims and supplementing P.L.1972, c.70 (39:6A-1 et seq.).
Be It Enacted by the Senate and General Assembly of the State of New Jersey:
1. Notwithstanding any law to the contrary, the commissioner shall adopt rules and regulations which:
a. ensure that all health care providers submit medical bills for payment on standardized forms;
b. require acceptance of electronic claims for payment of medical services by insurers offering policies which provide:
(1) personal injury protection coverage benefits payable under a standard automobile insurance policy pursuant to section 4 of P.L.1972, c.70 (C.39:6A-4);
(2) medical expense benefits payable under a basic automobile insurance policy pursuant to section 4 of P.L.1998, c.21 (C.39:6A-3.1); or
(3) emergency care medical expense benefits payable under a special automobile insurance policy pursuant to section 45 of P.L.2003, c.89 (C.39:6A-3.3);
c. ensure confidentiality of medical information submitted on electronic claims for payment of medical services pursuant to the this act; and
d. provide that payment for medical services provided or prescribed by the health care provider shall be made by the insurer to the health care provider within 15 working days after electronic receipt of an itemized electronic billing. If the billing is contested, denied, or incomplete, payment shall be made of any uncontested amounts within 15 working days after electronic receipt of the billing. Any contested medical charge arising from any claim for payment of medical services shall be resolved pursuant to section 24 of P.L.1998, c.21 (C.39:6A-5.1).
2. This act shall take effect on the first day of the third month next following the date of enactment.
STATEMENT
This bill concerns the electronic submission of certain automobile insurance claims. Specifically, the bill requires the Commissioner of Banking and Insurance to adopt rules and regulations which:
(1) ensure that all health care providers submit medical bills for payment on standardized forms;
(2) require acceptance of electronic claims for payment of medical services by insurers offering policies which provide personal injury protection coverage benefits payable under a standard automobile insurance policy, medical expense benefits payable under a basic automobile insurance policy, or emergency care medical expense benefits payable under a special automobile insurance policy;
(3) ensure confidentiality of medical information submitted on electronic claims for payment of medical services; and
(4) provide that payment for medical treatment provided or prescribed by the health care provider shall be made by the insurer to the health care provider within 15 working days after electronic receipt of an itemized electronic billing. If the billing is contested, denied, or incomplete, payment shall be made of any uncontested amounts within 15 working days after electronic receipt of the billing.