S 3799 New Jersey Senate · 2024-2025 Regular Session

Revises credentialing process for physicians attempting to enter a health insurance carrier's provider network.

This bill revises New Jersey's process for health insurance carriers to credential physicians seeking to join their provider networks. It requires carriers to notify applicants within 30 days if an application is incomplete (or deem it complete if no notice is given), post universal application forms and process details online, and reimburse physicians for services delivered during the credentialing wait period if approved. Physicians changing employers within the state cannot be forced to resubmit applications solely due to the job change. The Department of Banking and Insurance gains authority to enforce these rules and investigate complaints about credentialing violations.
Bill status in committee 1 of 4 stages cleared
Introduction
Oct 2024
Committee Review
Floor Vote
Governor
Introduced Oct 21, 2024 Last action Oct 21, 2024
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Oct 21, 2024
Introduced
Introduced in the Senate, Referred to Senate Commerce Committee
upper
2 primary · 7 co-sponsors

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