N.J. Admin. Code § 11:22-1.7

Current through Register Vol. 56, No. 11, June 3, 2024

Section 11:22-1.7 - Prompt payment of capitation payments

(a) Payment of a capitation payment to a health care provider shall be deemed to be overdue if not remitted to the provider on the fifth business day following the due date of the payment in the contract, if:

1. The health care provider is not in violation of the terms of the contract; and

2. The health care provider has supplied such information to the insurer as may be required under the contract before payment is to be made.

(b) An overdue payment shall include simple interest on the amount of the payment at the rate of 10 percent per year and shall add the interest amount to the payment when it is made.

N.J. Admin. Code § 11:22-1.7

Recodified from 11:22-1.8 by 50 N.J.R. 571(a), effective 1/16/2018