| Home > Insurance Division > Managed Care > Contact Information for Managed Care Filings | ||
| Contact Information for Managed Care Filings | ||
| All correspondence may be addressed to: New Jersey Department of Banking and Insurance 20 West State Street, 11th Floor P.O. Box 325 Trenton, NJ 08625-0325 |
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| Valuation Bureau | ||
| (Applications for licenses and certifications; provider agreements and related contracts; annual supplements) Main Telephone Number: (609) 292-5427 FAX: (609) 633-0527 |
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| Timothy Costello, MBA, FLMI Chief, Valuation Bureau Specialties: Health insurer admissions, Third Party Administrators & billing services, Organized Delivery Systems (financial) Extension: 50313 |
Holly Gaenzle Assistant Chief, Valuations Bureau Specialties: Managed care operational systems evaluation, and monitoring (UM, QA, CQI, network adequacy, credentialing); provider contracts and management agreements; HMO licensing; HMO annual reports, surveys and examinations Extension: 50308 |
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| Catherine Bender Health Care Consultant Specialties: Systems, network adequacy and contract reviews for HMOs, ODSs, SCAs, and WCMCOs; evaluation of HMO Annual Supplements, quality assessment of HMO operations Extension: 50315 |
Sherri Eure-Washington Health Care Consultant Specialties: Systems, network adequacy and contract reviews for HMOs, ODSs, SCAs, and WCMCOs; evaluation of HMO Annual Supplements, quality assessment of HMO operations Extension: 50356 |
Barbara Hanlon Health Care Consultant Specialties: Systems, network adequacy and contract reviews for HMOs, ODS, SCAs, and WCMCOs; evaluation of HMO Annual Supplements, quality assessment of HMO operations Extension: 50325 |
| Diane Scholl Health Care Consultant Specialties: HMO applications and modifications, acquisitions and merger applications and all management contracts. Licensed ODSs and Self-Funded Multiple Employer Welfare Arrangement (MEWA) contracts. Dental Service Corporations (DSC) contracts and provider agreements. WCMCO provider agreements. Extension: 50330 |
Maryann Schweitzer Health Care Consultant Specialties: Dental Plan Organizations (DPOs), Selective Contract Arrangements (SCAs), Worker's Compensation Managed Care Organizations and Prepaid Prescription Service Organizations (PPSO) applications, contracts and provider agreements Extension: 50331 |
David Graber Supervising Accountant Specialties: Third Party Administrators and Billing Services Extension: 50376 |
| Anthony Masucci, MBA, FLMI, ACS Insurance Analyst Specialties: Health Insurer Admissions Extension: 50346 |
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| Life and Health Actuarial | ||
| (Rate filings, certain data submissions, including HMO Performance Reports, enrollment data, prompt pay reports, provider negotiation reports) Main Telephone Number: (609) 292-5427 FAX: (609) 633-0527 |
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| Health Insurance Bureau | ||
| (Policy forms and related document filings) Main Telephone Number: (609) 292-5427 FAX: (609) 633-0527 |
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| Michael J. Malloy, FLMI, HIA Chief, Health Insurance Bureau Extension: 50322 |
James A. Benyon, FLMI, HIA, MHP Insurance Analyst Specialty: Group life and health including Group Medicare Supplement, Stop-Loss, and other group form filings. Extension: 50309 |
Thomas Frascella Insurance Analyst Extension: 50317 |
| Charles R. Uhl, FLMI, HIA, MHP, ALHC, PAHM Insurance Analyst Specialty: Group life and health including Group Long Term Care, legal insurance, TDB, Selective Contracting Arrangements, Health Service Corporations, SEH decreasing benefit riders and other group form filings Extension: 50336 |
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| For questions related to Financial Reports for all Managed Care Products: | ||
| Frank Cipriani Manager, Health Entities Financial Operations, Office of Solvency Regulation (609) 292-5350 extension 50452 |
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| Contacts for Managed Care Complaints and the Independent Health Care Appeals Program: | ||
| Office of Managed Care Hotline: 1-888-393-1062 Office of Managed Care Fax: (609) 633-0807 Consumer Protection Services Main Line: (609) 292-7272 On-line assistance form |
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| Sylvia Allen-Ware, JD, MT (ASCP) Chief, Office of Managed Care, Consumer Protection Services Extension: 50476 |
Veronica Schmitt, RN, BSN, MA Special Investigator, Provider Prompt Pay, Office of Managed Care, Consumer Protection Services Provider complaints and claims issues Extension: 50528 |
Robert Williams, RN, JD, CPHQ Assistant Chief, Office of Managed Care, Consumer Protection Services Managed Care complaints and the Independent Health Care Appeals Program Extension: 50484 |
Betsy Reetz, RN, BSN |
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| Copyright © 2007,
State of New Jersey New Jersey Department of Banking and Insurance |
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