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 Results for ("N.J.S.A. 39:6a-4.6")   1 to 15 of 17 results. Run time: 1.175 seconds | Search time: 1.165 seconds    
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1 TITO COBO v. MARKET TRANSITION FACILITY -- rank: 1000
... the Department of Insurance fee schedule and the authorization of [ N.J.S.A. ] 39:6A-4.6." The court concluded that defendants' auditors were ignoring the judgment ... to reimburse insureds for medical expenses under their PIP coverage. N.J.S.A. 39:6A-4.6 (1988) (amended 1991). N.J.S.A. 39:6A-4.6 mandates that the fee schedules be based on the type ... by the medical fee schedules established pursuant to this section.         [ N.J.S.A. 39:6A-4.6.]     Both the history of the promulgation of the PIP fee ... order to         clarify and emphasize that the reference in amended N.J.S.A. 39:6A-4.6 to the "reasonable and prevailing fees of 75" of the ...
docket: a1968-94
court: njappellate
decided: 1996-08-15
status: published published
citation: 293 N.J.Super. 374
Document Size: 53476
2 IN THE MATTER FAILURE BY THE DEPARTMENT OF BANKING AND INSURANCE TO TRANSMIT A PROPOSED DENTAL FEE SCHEDULE TO THE OAL FOR PUBLICATION IN THE NEW JERSEY REGISTER -- rank: 990
... complying with the legislative mandate.                         I.      The Legislature first enacted N.J.S.A. 39:6A-4.6 in 1988 as a cost containment measure. P.L. 1988 ... 8, §2(d). Through the Fair Act, the Legislature amended N.J.S.A. 39:6A-4.6 to require, among other things, that reimbursement rates established within ... Insurance Association of America.     In 1997, the Legislature again amended N.J.S.A. 39:6A-4.6 by authorizing the Department to "contract with a proprietary purveyor ... year after the effective date of the 1997 amendment to N.J.S.A. 39:6A-4.6, four days before AICRA was signed into law, and a ... being developed with Ingenix's assistance.     The 1997 amendment to N.J.S.A. 39:6A-4.6, requiring biennial revision, contains no specific directive explaining when the ... supra , 331 N.J. Super. at 335 (citing as examples, N.J.S.A. 39:6A-4.6, provided that the Department "may contract with a proprietary ...
docket: a5311-98
court: njappellate
decided: 2001-01-17
status: published
citation: 336 N.J.Super. 253
Document Size: 41618
3 IN THE MATTER COMMISSIONER'S FAILURE TO ADOPT 861 CPT CODES AND TO PROMULGATE HOSPITAL AND DENTAL FEE SCHEDULES. -- rank: 983
... and to promulgate a hospital fee schedule, as required by N.J.S.A. 39:6A-4.6. We reverse the adoption of the Appendix, Exhibit 1, because ... There was no proposed hospital fee schedule. Id. at 4357.      N.J.S.A. 39:6A-4.6 provides:         a. The Commissioner of Banking and Insurance shall, within ... services from 746 to 953, and implemented the requirement of N.J.S.A. 39:6A-4.6 to "incorporate the reasonable and prevailing fees of 75% of ... SUBSTANTIVELY FROM THE RULE PROPOSAL?         II.    DID THE COMMISSIONER VIOLATE N.J.S.A. 39:6A-4.6 BY FAILING TO ADOPT MEDICAL FEE SCHEDULES ADDRESSING ALL MEDICAL ... a hospital fee schedule, failed to follow the directives of N.J.S.A. 39:6A-4.6. The Department responds that its decision represents an exercise of sound discretion.      We repeat the pertinent part of N.J.S.A. 39:6A-4.6(a):         The Commissioner of Banking and Insurance shall, within ...
docket: a6787-00
court: njappellate
decided: 2003-03-07
status: published
citation: 358 N.J. Super. 135
Document Size: 33178
4 IN RE ADOPTION OF N.J.A.C. 11:3-29 -- rank: 960
... the court was delivered by CARCHMAN, P.J.A.D. N.J.S.A. 39:6A-4.6 requires the Commissioner of the Department of Banking and Insurance ... prevailing fees of 75% of the practitioners within the region.' N.J.S.A. 39:6A-4.6. To implement the statutory mandate, the Department promulgated new regulations ... of contact with an automobile. In 1988, the Legislature enacted N.J.S.A. 39:6A-4.6 as a 'cost containment measure.' In re the Failure by ... in the fee schedules. Ibid. In 1997, the Legislature amended N.J.S.A. 39:6A-4.6. L. 1997, c. 151, § 33. The new law stated that ... forged by statute and regulation. Second, the enabling statute here, N.J.S.A. 39:6A-4.6, specifically permits the Commissioner to 'contract with a proprietary purveyor ...
docket: a0344-07
court: NJ Superior Court Appellate Division
decided: 2009-08-10
status: published
citation: 410 N.J. Super. 6 979 A.2d 770
Document Size: 87431
5 NEW JERSEY HEALTHCARE COALITION v. NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE -- rank: 911
... revised regulations. The most enduring subject of dispute has been N.J.S.A. 39:6A-4.6, which authorizes the Department to adopt, for providers of medical ... authorizes the Department to use proprietary databases in setting rates. N.J.S.A. 39:6A-4.6(a); In re Adoption of N.J.A.C. 11 ... and proportional reductions in the cost of the additional procedures. [ N.J.S.A. 39:6A-4.6(b).] The Department adopted that approach based on its finding ...
docket: a1636-12
court: NJ Superior Court Appellate Division
decided: 2015-03-31
status: published
citation:
Document Size: 53853
6 NEW JERSEY HEALTHCARE COALITION v. NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE -- rank: 911
... revised regulations. The most enduring subject of dispute has been N.J.S.A. 39:6A-4.6, which authorizes the Department to adopt, for providers of medical ... authorizes the Department to use proprietary databases in setting rates. N.J.S.A. 39:6A-4.6(a); In re Adoption of N.J.A.C. 11 ... and proportional reductions in the cost of the additional procedures. [ N.J.S.A. 39:6A-4.6(b).] The Department adopted that approach based on its finding ...
docket: a1038-12
court: NJ Superior Court Appellate Division
decided: 2015-03-31
status: published
citation:
Document Size: 53853
7 NEW JERSEY HEALTHCARE COALITION v. NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE -- rank: 911
... revised regulations. The most enduring subject of dispute has been N.J.S.A. 39:6A-4.6, which authorizes the Department to adopt, for providers of medical ... authorizes the Department to use proprietary databases in setting rates. N.J.S.A. 39:6A-4.6(a); In re Adoption of N.J.A.C. 11 ... and proportional reductions in the cost of the additional procedures. [ N.J.S.A. 39:6A-4.6(b).] The Department adopted that approach based on its finding ...
docket: a1445-12
court: NJ Superior Court Appellate Division
decided: 2015-03-31
status: published
citation:
Document Size: 53853
8 NEW JERSEY HEALTHCARE COALITION v. NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE NEW JERSEY COALITION FOR QUALITY HEALTHCARE v. NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE NEW JERSEY ASSOCIATION FOR JUSTICE v. NEW JERSEY DEPARTMENT OF BA -- rank: 911
... revised regulations. The most enduring subject of dispute has been N.J.S.A. 39:6A-4.6, which authorizes the Department to adopt, for providers of medical ... authorizes the Department to use proprietary databases in setting rates. N.J.S.A. 39:6A-4.6(a); In re Adoption of N.J.A.C. 11 ... and proportional reductions in the cost of the additional procedures. [ N.J.S.A. 39:6A-4.6(b).] The Department adopted that approach based on its finding ...
docket: a1792-12
court: NJ Superior Court Appellate Division
decided: 2015-03-31
status: published
citation: 440 N.J.Super. 129 111 A.3d 716
Document Size: 54194
9 COALITION FOR QUALITY HEALTH CARE, et al. v. NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE, DIVISION OF INSURANCE -- rank: 756
... 3-29.4(o). Appellants argue that the Commissioner violated N.J.S.A. 39:6A-4.6 and acted outside the authority delegated to her under the ... statutory authority most pertinent to this appeal is found in N.J.S.A. 39:6A-4.6(a):         The Commissioner of Banking and Insurance shall, within 90 ... fees of 75% of the practitioners within the region" in N.J.S.A. 39:6A-4.6 was first enacted, in 1988, as part of the Automobile ... the critical "reasonable and prevailing fees" language first appeared in N.J.S.A. 39:6A-4.6, L. 1990, c. 8, § 7, this language has been understood ... and management services are within the grant of authority in N.J.S.A. 39:6A-4.6. We agree with the Department.      N.J.A.C. 11 ...
docket: a5795-00
court: njappellate
decided: 2003-03-07
status: published
citation: 358 N.J. Super. 123
Document Size: 24669
10 ALLSTATE INSURANCE COMPANY v. NORTHFIELD MEDICAL CENTER -- rank: 723
... bill splitting, thereby avoiding the regulatory prohibition on fragmented billing. N.J.S.A. 39:6A 4.6(b); N.J.A.C. 11:3-29.4(g ...
docket: a0636-12
court: NJ Superior Court Appellate Division
decided: 2015-05-04
status: unpublished
citation:
Document Size: 74105
11 NEW JERSEY MANUFACTURERS INSURANCE COMPANY v. SPECIALTY SURGICAL CENTER OF NORTH BRUNSWICK -- rank: 713
... S.A. 39:6A-4. A-0319-17T1 2 I. N.J.S.A. 39:6A-4.6(a) requires the Department of Banking and Insurance (the Department ... of its biennial review of the fee schedules required by N.J.S.A. 39:6A-4.6. [ 44 N.J.R. 383(a).] In November 2012, after ...
docket: a0319-17
court: NJ Superior Court Appellate Division
decided: 2019-01-29
status: Published
citation: 458 N.J.Super. 63 202 A.3d 672
Document Size: 29438
12 STATE FARM MUTUAL AUTOMOBILE INSURANCE CO. VS EILEEN CROCKER -- rank: 671
... e.g. , N.J.S.A. 39:6A-2 (definitions); N.J.S.A. 39:6A-4.6 (medical fee schedules); N.J.S.A. 39:6A-5a ...
docket: a3686-94
court: njappellate
decided: 1996-03-08
status: published
citation: 288 N.J.Super. 250
Document Size: 18572
13 JIGNYASA DESAI, D.O., LLC v. NEW JERSEY MANUFACTURERS INSURANCE COMPANY -- rank: 608
... Department of Bank and Insurance (DOBI) promulgates the fee schedule. N.J.S.A. 39:6A- 4.6. Therefore, the CPT codes and the fee schedules may sometimes ...
docket: a0221-21
court: NJ Superior Court Appellate Division
decided: 2022-10-20
status: Published
citation:
Document Size: 18526
14 SEAVIEW ORTHOPAEDICS v. NATIONAL HEALTHCARE RESOURCES, INC., et al. -- rank: 598
... was its rewriting of the fee schedule provisions contained in N.J.S.A. 39:6A-4.6 to incorporate the reasonable and prevailing fees of 75% of ...
docket: a3599-01
court: njappellate
decided: 2004-02-13
status: published
citation: 366 N.J. Super. 501
Document Size: 41622
15 AMBULATORY SURGICAL CENTER OF SOMERSET v. ALLSTATE FIRE CASUALTY INSURANCE COMPANY -- rank: 595
... center (ASC) medical expense benefits under PIP coverage. See generally N.J.S.A. 39:6A-4.6(a) (requiring DOBI's Commissioner to 'promulgate medical fee schedules ...
docket: a1998-19
court: NJ Superior Court Appellate Division
decided: 2020-11-12
status: Unpublished
citation:
Document Size: 26500
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