Statutes, codes, and regulations
New Jersey Administrative Code
Title 11 - INSURANCEChapter 24A - HEALTH CARE QUALITY ACT APPLICATION TO INSURANCE COMPANIES, HEALTH SERVICE CORPORATIONS, HOSPITAL SERVICE CORPORATIONS, AND MEDICAL SERVICE CORPORATIONS
Subchapter 3 - UTILIZATION MANAGEMENT
Section 11:24A-3.7 - Carrier action on the IURO decisions

N.J. Admin. Code § 11:24A-3.7

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Current through Register Vol. 56, No. 21, November 4, 2024
Section 11:24A-3.7 - Carrier action on the IURO decisions
(a) A carrier shall provide benefits (including authorization of a service or supply and payment of the claim) pursuant to the IURO's determination and comply with the IURO's determination without delay, but no later than 10 business days from receipt of the IURO's determination, regardless of whether the carrier intends to seek judicial review of the external review decision, unless there is a judicial decision stating otherwise.
1. The carrier shall provide benefits to comply with the IURO decision sooner if the medical exigencies of the case warrant a more rapid response.

N.J. Admin. Code § 11:24A-3.7

Amended by 50 N.J.R. 564(a), effective 1/16/2018