N.J. Admin. Code § 11:3-25.1

Current through Register Vol. 56, No. 12, June 17, 2024

Section 11:3-25.1 - Purpose and scope

(a) The purpose of this subchapter is to implement 39:6A-5, as amended by P.L. 1995, c.407, by establishing procedures to be followed by treating medical providers to give timely notification of the commencement of medical treatment for injuries sustained in automobile accidents. The subchapter sets forth:

1. Time limits for the filing of notification of the commencement of treatment for PIP claims;

2. The actions to be taken upon failure to comply with the notification time limits, including reduction or denial of claim payments;

3. The factors to be considered in evaluation of a late notification; and

4. The rights of providers when payment is reduced or denied for failure to comply with the notification requirements.

(b) This subchapter shall apply to every insurer authorized to transact the business of automobile insurance in this State. The subchapter applies to treatment for injuries resulting from automobile accidents that occur after July 8, 1996.

N.J. Admin. Code § 11:3-25.1