Search Rutgers Law Library N.J. Court Opinions

1 NEW JERSEY DENTAL ASSOCIATION v. HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY -- rank: 1000

... S.A. 17:48E-10.1(d)(10), (11), and N.J.S.A. 17B:27-44.2(d)(10), (11), the first of which applies to Horizon ... N.J.S.A. 17:48E-10.1(d)(11); N.J.S.A. 17B:27-44.2(d)(11) (emphasis added).] Thus, the quoted provisions authorize the ... J.S.A. 17:48E-10.1(d)(1)(c); N.J.S.A. 17B:27-44.2(d)(1)(c). "[H]ealth benefits plan" is defined as ... of N.J.S.A. 17:48E-10.1 and N.J.S.A. 17B:27-44.2 "apply to all claim payments made on or after July ... S.A. 17:48E-10.1(d)(10), (11) and N.J.S.A. 17B:27-44.2(d)(10), (11) apply based on the identity of the ... J.S.A. 17:48E-10.1(d)(11) and N.J.S.A. 17B:27-44.2(d)(11) apply based on the type of payer ...

docket:	a1834-12
court:	NJ Superior Court Appellate Division
decided:	2014-06-05
status:	unpublished
citation:
Document Size:	44113

2 BAHMAN VOJDANI, D.M.D D v. AETNA LIFE INSURANCE COMPANY -- rank: 856

... the Health Claims Authorization, Processing and Payment Act (HCAPPA), specifically, N.J.S.A. 17B:27-44.2(d), the section of HCAPPA which applies to health insurers ... reason to believe that the claim has been submitted fraudulently. [N.J.S.A. 17B:27-44.2(d)(1).] Plaintiffs contend that because N.J.S.A. 17B:27-44.2(d)(10) states that the health insurers may seek reimbursement ... different patient. In support of this argument, plaintiffs rely upon N.J.S.A. 17B:27-44.2(d)(11)(a)(iii), which states in part that [t ... health care provider's rights to appeal set forth under [ N.J.S.A. 17B:27-44.2(e)(1) and (2)] have been exhausted if the payer ... claims against plaintiffs for restitution. Aetna exercised its right under N.J.S.A. 17B:27-44.2(d)(11) for reimbursement of the overpayments it made ...

docket:	a5000-17
court:	NJ Superior Court Appellate Division
decided:	2019-04-29
status:	Unpublished
citation:
Document Size:	17566

3 IN THE MATTER OF THE ADOPTION OF AMENDMENTS TO N.J.A.C. 11:22-1.1 -- rank: 645

... S.A. 17:48E-10.1(d) (health service corporations); N.J.S.A. 17B:27-44.2(d) (group health insurance companies); N.J.S.A. 17 ...

docket:	a2828-17
court:	NJ Superior Court Appellate Division
decided:	2019-04-29
status:	Published
citation:	459 N.J.Super. 32 207 A.3d 772
Document Size:	28618

4 STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY v. STOKES PHARMACY -- rank: 562

... J.S.A. 26:2J-8.1(d)(12) and N.J.S.A. 17B:27-44.2. Stokes suggests that the payments to Quick may not be ...

docket:	a5102-14
court:	NJ Superior Court Appellate Division
decided:	2017-10-13
status:	unpublished
citation:
Document Size:	30423