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Title: 17B - INSURANCE

Chapter: 30 - Declaration of purpose

17B:30-1 Declaration of purpose (2013-06-10 16:36:30,14400.000000000)
17B:30-2 Practices prohibited (2013-06-10 16:36:30,14401.000000000)
17B:30-3 Misrepresentations and false advertising of policies or annuity contracts (2013-06-10 16:36:30,14402.000000000)
17B:30-4 False information and advertising (2013-06-10 16:36:30,14403.000000000)
17B:30-5 False financial statements (2013-06-10 16:36:30,14404.000000000)
17B:30-6 "Twisting" prohibited (2013-06-10 16:36:30,14405.000000000)
17B:30-7 Defamation (2013-06-10 16:36:30,14406.000000000)
17B:30-8 Boycott, coercion and intimidation (2013-06-10 16:36:30,14407.000000000)
17B:30-9 Stock operations and advisory board contracts (2013-06-10 16:36:30,14408.000000000)
17B:30-10 Stock acquisition, common management (2013-06-10 16:36:30,14409.000000000)
17B:30-11 Interlocking directorate (2013-06-10 16:36:30,14410.000000000)
17B:30-12 Discrimination prohibited; terms defined. (2021-07-06 15:51:59,14411.000000000)
17B:30-13 Rebates and special inducements (2013-06-10 16:36:30,14412.000000000)
17B:30-13.1 Unfair claim settlement practices (2013-06-10 16:36:30,14413.000000000)
17B:30-13.2 Record of complaints (2013-06-10 16:36:30,14414.000000000)
17B:30-14 Exceptions to discrimination and rebates (2013-06-10 16:36:30,14415.000000000)
17B:30-15 Enumeration of acts not exclusive (2013-06-10 16:36:30,14416.000000000)
17B:30-16 Commissioner's powers of investigation (2013-06-10 16:36:30,14417.000000000)
17B:30-17 Desist orders for prohibited practices; penalty (2013-06-10 16:36:30,14418.000000000)
17B:30-18 Procedures as to undefined practices (2013-06-10 16:36:30,14419.000000000)
17B:30-19 Appeal by intervenor (2013-06-10 16:36:30,14420.000000000)
17B:30-20 Violation of cease and desist order; penalty (2013-06-10 16:36:30,14421.000000000)
17B:30-21 Provisions of chapter additional to existing laws (2013-06-10 16:36:30,14422.000000000)
17B:30-22 Immunity from prosecution (2013-06-10 16:36:30,14423.000000000)
17B:30-23 Timetable for implementation of electronic receipt, transmission of health care claim information; standard forms. (2013-06-10 16:36:30,14424.000000000)
17B:30-24 Regulations. (2013-06-10 16:36:30,14425.000000000)
17B:30-25 Thomas A. Edison State College to study, monitor effectiveness of electronic data interchange technology, electronic health records. (2013-06-10 16:36:30,14426.000000000)
17B:30-26 Definitions relative to payment of health and dental insurance plans. (2013-06-10 16:36:30,14427.000000000)
17B:30-27 Applicability. (2013-06-10 16:36:30,14428.000000000)
17B:30-28 Provision of information. (2013-06-10 16:36:30,14429.000000000)
17B:30-29 Provision of toll-free telephone number. (2013-06-10 16:36:30,14430.000000000)
17B:30-30 Maintenance of claims records; audit required. (2013-06-10 16:36:30,14431.000000000)
17B:30-31 Additional record of claims. (2013-06-10 16:36:30,14432.000000000)
17B:30-32 Overdue capitation payment. (2013-06-10 16:36:30,14433.000000000)
17B:30-33 Regulations. (2013-06-10 16:36:30,14434.000000000)
17B:30-34 Inapplicability of act. (2013-06-10 16:36:30,14435.000000000)
17B:30-34.1 Health care provider, carrier, more than one method of payment, reimbursement; definitions. (2024-04-11 15:11:51,14435.000100000)
17B:30-35 Definitions relative to standardized pharmacy identification cards (2013-06-10 16:36:30,14436.000000000)
17B:30-36 Issuance of standardized pharmacy identification information, card to primary insured (2013-06-10 16:36:30,14437.000000000)
17B:30-37 Exceptions for issuance of card (2013-06-10 16:36:30,14438.000000000)
17B:30-38 Provision of new pharmacy identification card (2013-06-10 16:36:30,14439.000000000)
17B:30-39 Rules, regulations (2013-06-10 16:36:30,14440.000000000)
17B:30-40 Definitions, construction, regulations on notice of premium increase to employers. (2013-06-10 16:36:30,14441.000000000)
17B:30-41 Findings, declarations relative to collection of unpaid hospital accounts. (2013-06-10 16:36:30,14442.000000000)
17B:30-42 Definitions relative to collection of unpaid hospital accounts. (2013-06-10 16:36:30,14443.000000000)
17B:30-44 "New Jersey Hospital Care Payment Fund." (2013-06-10 16:36:30,14444.000000000)
17B:30-45 Authority of department. (2013-06-10 16:36:30,14445.000000000)
17B:30-46 Decisions of department constitute final agency action. (2013-06-10 16:36:30,14446.000000000)
17B:30-47 Procedures for participating hospitals. (2013-06-10 16:36:30,14447.000000000)
17B:30-48 Short title. (2013-06-10 16:36:30,14448.000000000)
17B:30-49 Findings, declarations relative to processing health claims. (2013-06-10 16:36:30,14449.000000000)
17B:30-50 Definitions relative to processing health claims. (2013-06-10 16:36:30,14450.000000000)
17B:30-51 Information required from payer. (2013-06-10 16:36:30,14451.000000000)
17B:30-52 Response by payer to request for authorization of health care services. (2013-06-10 16:36:30,14452.000000000)
17B:30-53 Reimbursement for covered services, conditions. (2013-06-10 16:36:30,14453.000000000)
17B:30-54 Reimbursement according to provider contract. (2013-06-10 16:36:30,14454.000000000)
17B:30-55 Violations, penalties; rules, regulations. (2013-06-10 16:36:30,14455.000000000)
17B:30-55.1 Short title. (2024-06-14 13:50:32,14455.000100000)
17B:30-55.2 Findings, declarations. (2024-06-14 13:50:35,14455.000200000)
17B:30-55.3 Definitions. (2024-06-14 13:50:38,14455.000300000)
17B:30-55.4 Payer, information, utilization management, processing, payment of claims. (2024-06-14 13:50:41,14455.000400000)
17B:30-55.5 Payer, respond, hospital, health care provider request, prior authorization. (2024-06-14 13:50:44,14455.000500000)
17B:30-55.6 Carrier, respond, prior authorization requests, medication coverage submitted, NCPDP SCRIPT Standard for ePA transactions. (2024-06-14 13:50:47,14455.000600000)
17B:30-55.7 Prior authorization, chronic, long-term care condition, validity, exception, timeline. (2024-06-14 13:50:50,14455.000700000)
17B:30-55.8 Prior authorization, denial, limitation imposed by payer, physician, scope of actions. (2024-06-14 13:50:53,14455.000800000)
17B:30-55.9 Prior authorization, defined number, discrete services, set time frame, validity, exception. (2024-06-14 13:50:56,14455.000900000)
17B:30-55.10 Payer to honor prior authorization granted to covered person by previous payer, initial coverage, upon receipt of documentation. (2024-06-14 13:50:59,14455.001000000)
17B:30-55.11 Denial of prior authorization, communicated via written communication agreed to by payer, hospital, health care provider. (2024-06-14 13:51:03,14455.001100000)
17B:30-55.12 Adverse determinations, appeal, reviewed by physician. (2024-06-14 13:51:06,14455.001200000)
17B:30-55.13 Payer shall not deny reimbursement, hospital, health care provider in compliance, circumstances, (2024-06-14 13:51:09,14455.001300000)
17B:30-55.14 Payer, reimbursement according to provider contract, medically necessary emergency, urgent care covered under plan. (2024-06-14 13:51:12,14455.001400000)
17B:30-55.15 Failure by payer to comply with deadline, health care services subject to review, automatic authorization. (2024-06-14 13:51:15,14455.001500000)
17B:30-55.16 Statistics available regarding prior authorization approvals, denials, website. (2024-06-14 13:51:18,14455.001600000)
17B:30-55.17 Liberal construction. (2024-06-14 13:51:21,14455.001700000)
17B:30-56 Rules, regulations. (2024-06-14 13:51:30,14456.000000000)
17B:30-57 Liberal construction. (2013-06-10 16:36:30,14457.000000000)
17B:30-58 Definitions relative to reimbursement for certain ambulance services. (2013-06-10 16:36:30,14458.000000000)
17B:30-59 Assignment of benefits to service provider of right to receive reimbursement for ambulance service. (2013-06-10 16:36:30,14459.000000000)
17B:30-60 Definitions relative to certain dental provider networks. (2019-09-26 13:30:58,14459.000100000)
17B:30-61 Third party access. (2019-09-26 13:30:58,14459.000200000)
17B:30-62 Inapplicability. (2019-09-26 13:30:58,14459.000300000)
17B:30-63 Rules, regulations. (2019-09-26 13:30:58,14459.000400000)