Original source: https://www.njspotlight.com/stories/19/05/15/questions-about-njs-surprise-billing-law-and-one-call-for-changes/
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NJ Spotlight (05/16/19) Stainton, Lilo H.
New Jersey’s surprise-billing law, which took effect in September, requires increased disclosure from the insurance companies and providers and created an arbitration procedure to resolve payment disputes between providers and carriers. New Jersey Department of Banking and Insurance Commissioner Marlene Caride, that oversees mediation, says that the vendor that handles this process Maximus, for the state, has decided 357 appeal cases thus far 207 for carriers and — 150 in favor of the providers. Whereas carriers received just over $400,000, providers were awarded more than $ 2 million in payments through the process. Caride says,”While it is too early to assess the long-term impacts of the legislation, we do know it’s having a positive impact on our taxpayers since the legislation prohibits balance billing for casual or emergency out-of-network services”… Read More
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