New Jersey

This regulation is directly from the New Jersey State Department of Banking and Insurance and is specific for manage care/indemnity plans.
If utilized properly, you will ensure your collections without having to beg and plead

from the desk of:

Mark Studin DC, FASBE(C), DAAPM, DAAMLP

The carriers have 30 calendar days to pay or deny after receipt of a clean claim. Anything beyond that will result in a default of the payment of your claim and mandate a 12% penalty to be paid, by regulation. A telephone call will fall on deft ears, therefore create a paper trail with a demand for payment.

The Law:

§§ 17:48-8.4, 17:48A-7.12,
17:48E-10.1, 17B:26-9.1,
26:2J-8.1, 17:48F-13.1 (1999),
SB 2824 (2006

Language for your complaint:

Dear Claims Examiner:

The services rendered were billed within the New Jersey Insurance guidelines. It has now been beyond 45 working days allowed by New Jersey Prompt Pay Law, Section §§ 17:48-8.4, 17:48A-7.12,17:48E-10.1, 17B:26-9.1, 26:2J-8.1, 17:48F-13.1 (1999), SB 2824 (2006.)

Since you have violated this regulation we can submit this entire claim for summary judgment or arbitration through our legal counsel.

　We would like to resolve this issue without using legal counsel. If we do go to court, It will cost you both the amount of the claim and attorney fees with 10% interest annually as mandated by regulation §§ 17:48-8.4, 17:48A-7.12,17:48E-10.1, 17B:26-9.1, 26:2J-8.1, 17:48F-13.1 (1999), SB 2824 (2006.)

　We request payment within 3 weeks of the date of this letter for the resubmitted bill(s) as prescribed by law. By doing so we will waive the interest due us as described in the regulations previously cited. If we do not receive payment, we will be forced to litigate this matter and also file a complaint with the New Jersey Department of Banking and Insurance.

State of New Jersey
Department of Banking and Insurance
20 West State Street
PO Box 325
Trenton, New Jersey 08625-0325

609-292-7272

Contact Page: http://www.state.nj.us/nj/feedback.html