Chapter 17B:30 - DECLARATION OF PURPOSE

Section 17B:30-1 - Declaration of purpose
Section 17B:30-2 - Practices prohibited
Section 17B:30-3 - Misrepresentations and false advertising of policies or annuity contracts
Section 17B:30-4 - False information and advertising
Section 17B:30-5 - False financial statements
Section 17B:30-6 - "Twisting" prohibited
Section 17B:30-7 - Defamation
Section 17B:30-8 - Boycott, coercion and intimidation
Section 17B:30-9 - Stock operations and advisory board contracts
Section 17B:30-10 - Stock acquisition, common management
Section 17B:30-11 - Interlocking directorate
Section 17B:30-12 - Discrimination prohibited; terms defined
Section 17B:30-13 - Rebates and special inducements
Section 17B:30-13.1 - Unfair claim settlement practices
Section 17B:30-13.2 - Record of complaints
Section 17B:30-14 - Exceptions to discrimination and rebates
Section 17B:30-15 - Enumeration of acts not exclusive
Section 17B:30-16 - Commissioner's powers of investigation
Section 17B:30-17 - Desist orders for prohibited practices; penalty
Section 17B:30-18 - Procedures as to undefined practices
Section 17B:30-19 - Appeal by intervenor
Section 17B:30-20 - Violation of cease and desist order; penalty
Section 17B:30-21 - Provisions of chapter additional to existing laws
Section 17B:30-22 - Immunity from prosecution
Section 17B:30-23 - Timetable for implementation of electronic receipt, transmission of health care claim information; standard forms
Section 17B:30-24 - Regulations
Section 17B:30-25 - Thomas A. Edison State College to study, monitor effectiveness of electronic data interchange technology, electronic health records
Section 17B:30-26 - Definitions relative to payment of health and dental insurance plans
Section 17B:30-27 - Applicability
Section 17B:30-28 - Provision of information
Section 17B:30-29 - Provision of toll-free telephone number
Section 17B:30-30 - Maintenance of claims records; audit required
Section 17B:30-31 - Additional record of claims
Section 17B:30-32 - Overdue capitation payment
Section 17B:30-33 - Regulations
Section 17B:30-34 - Inapplicability of act
Section 17B:30-34.1 - Health care provider, carrier, more than one method of payment, reimbursement; definitions
Section 17B:30-35 - Definitions relative to standardized pharmacy identification cards
Section 17B:30-36 - Issuance of standardized pharmacy identification information, card to primary insured
Section 17B:30-37 - Exceptions for issuance of card
Section 17B:30-38 - Provision of new pharmacy identification card
Section 17B:30-39 - Rules, regulations
Section 17B:30-40 - Definitions, construction, regulations on notice of premium increase to employers
Section 17B:30-41 - Findings, declarations relative to collection of unpaid hospital accounts
Section 17B:30-42 - Definitions relative to collection of unpaid hospital accounts
Section 17B:30-43 - [Repealed]
Section 17B:30-44 - "New Jersey Hospital Care Payment Fund."
Section 17B:30-45 - Authority of department
Section 17B:30-46 - Decisions of department constitute final agency action
Section 17B:30-47 - Procedures for participating hospitals
Section 17B:30-48 - [Repealed Effective 1/1/2025] Short title
Section 17B:30-49 - [Repealed Effective 1/1/2025] Findings, declarations relative to processing health claims
Section 17B:30-50 - [Repealed Effective 1/1/2025] Definitions relative to processing health claims
Section 17B:30-51 - [Repealed Effective 1/1/2025] Information required from payer
Section 17B:30-52 - [Repealed Effective 1/1/2025] Response by payer to request for authorization of health care services
Section 17B:30-53 - [Repealed Effective 1/1/2025] Reimbursement for covered services, conditions
Section 17B:30-54 - [Repealed Effective 1/1/2025] Reimbursement according to provider contract
Section 17B:30-55 - Violations, penalties; rules, regulations
Section 17B:30-55.1 - [Effective 1/1/2025] Short title
Section 17B:30-55.2 - [Effective 1/1/2025] Findings, declarations
Section 17B:30-55.3 - [Effective 1/1/2025] Definitions
Section 17B:30-55.4 - [Effective 1/1/2025] Payer, information, utilization management, processing, payment of claims
Section 17B:30-55.5 - [Effective 1/1/2025] Payer, respond, hospital, health care provider request, prior authorization
Section 17B:30-55.6 - [Effective 1/1/2025] Carrier, respond, prior authorization requests, medication coverage submitted, NCPDP SCRIPT Standard for ePA transactions
Section 17B:30-55.7 - [Effective 1/1/2025] Prior authorization, chronic, long-term care condition, validity, exception, timeline
Section 17B:30-55.8 - [Effective 1/1/2025] Prior authorization, denial, limitation imposed by payer, physician, scope of actions
Section 17B:30-55.9 - [Effective 1/1/2025] Prior authorization, defined number, discrete services, set time frame, validity, exception
Section 17B:30-55.10 - [Effective 1/1/2025] Payer to honor prior authorization granted to covered person by previous payer, initial coverage, upon receipt of documentation
Section 17B:30-55.11 - [Effective 1/1/2025] Denial of prior authorization, communicated via written communication agreed to by payer, hospital, health care provider
Section 17B:30-55.12 - [Effective 1/1/2025] Adverse determinations, appeal, reviewed by physician
Section 17B:30-55.13 - [Effective 1/1/2025] Payer shall not deny reimbursement, hospital, health care provider in compliance, circumstances,
Section 17B:30-55.14 - [Effective 1/1/2025] Payer, reimbursement according to provider contract, medically necessary emergency, urgent care covered under plan
Section 17B:30-55.15 - [Effective 1/1/2025] Failure by payer to comply with deadline, health care services subject to review, automatic authorization
Section 17B:30-55.16 - [Effective 1/1/2025] Statistics available regarding prior authorization approvals, denials, website
Section 17B:30-55.17 - [Effective 1/1/2025] Liberal construction
Section 17B:30-56 - [Effective Until 1/1/2025] Rules, regulations
Section 17B:30-56 - [Effective 1/1/2025] Rules, regulations
Section 17B:30-57 - Liberal construction
Section 17B:30-58 - Definitions relative to reimbursement for certain ambulance services
Section 17B:30-59 - Assignment of benefits to service provider of right to receive reimbursement for ambulance service
Section 17B:30-60 - Definitions relative to certain dental provider networks
Section 17B:30-61 - Third party access
Section 17B:30-62 - Inapplicability
Section 17B:30-63 - Rules, regulations