Requires collection of data by health insurers regarding health insurance claims and decisions made using automated utilization management systems.

This bill requires New Jersey health insurers to collect and publicly report detailed data on claims processed through automated systems, directly affecting insurers and their covered patients. Insurers must annually disclose statistics on claim denials (including appeals outcomes and specialty-specific denial patterns), rejection rates by medical reviewers, and average review times on their websites. A key provision penalizes insurers that deny 20% or more of claims without justification by requiring them to refund denied service costs to affected patients. The bill also mandates that medical directors reviewing claims include denial rates and consumer assistance instructions on all denial notices. These requirements aim to increase transparency in automated claim review processes.