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64 chapters · 2,534 sections in this title.
N.J.S.A. 26:2S-9 Contract terms concerning appropriate medical care
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26:2S-9 Contract terms concerning appropriate medical care 9. The contract between a participating health care provider and a carrier which offers a managed care plan: a. Shall state that the health care provider shall not be penalized or the contract terminated by the carrier be…
N.J.S.A. 26:2S-9.1 Managed care plan, continuing treatment of certain patients by physician no longer employed by plan; required.
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26:2S-9.1 Managed care plan, continuing treatment of certain patients by physician no longer employed by plan; required. 1. a. Notwithstanding the provisions of any law to the contrary, a carrier which offers a managed care plan shall provide in that plan that if a covered person…
N.J.S.A. 26:2S-9.2 Written fee schedule information furnished to health care providers, proprietary information.
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26:2S-9.2 Written fee schedule information furnished to health care providers, proprietary information. 1. a. A carrier which offers a managed care plan that negotiates with a health care provider to become a participating provider, who is reimbursed per procedure under the plan,…
N.J.S.A. 26:2S-9.3 Violations, penalty.
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26:2S-9.3 Violations, penalty. 2. A carrier which violates any provision of this act shall be liable to a penalty of not more than $1,000 for each violation. Each failure to timely respond to a health care provider's request for a fee schedule shall be considered a separate viola…
