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PIP Information for Health Care Providers
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Automobile Medical Fee Schedule PIP Alternate Dispute Resolution
Uniform Attending Provider Treatment Plan Form Prompt Payment Regulation Information
N.J.A.C. 11:3-4 Medical Protocols Rule
(Care Paths, Decision Point Review, Precertification)
Reference/Superceded Materials
21-Day Notice Rule  
 
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Automobile Medical Fee Schedule

Auto Medical Fee Schedule Rule and Exhibits - Effective for treatment rendered on or after January 4, 2013
Fee Schedule Rule Text - PDF or MS Word (Effective for treatment rendered on or after January 4, 2013)
Exhibit 1 Physicians' and ASC Fee Schedule - PDF or MS Excel (Effective for treatment rendered on or after January 4, 2013)
Exhibit 2 Dental Fee Schedule - PDF or MS Excel (Effective for treatment rendered on or after January 4, 2013)
Exhibit 3 Home Care Services - PDF or MS Excel (Effective for treatment rendered on or after January 4, 2013)
Exhibit 4 Ambulance Services - PDF or MS Excel (Effective for treatment rendered on or after January 4, 2013)
Exhibit 5 Durable Medical Equipment - PDF or MS Excel (Effective for treatment rendered on or after January 4, 2013)
Exhibit 6 CPT Codes Subject to Daily Maximum - PDF or MS Excel (Effective for treatment rendered on or after January 4, 2013)
Exhibit 7 Hospital Outpatient Surgical Facility (HOSF) Fee Schedule - PDF or MS Excel (Effective for treatment rendered on or after January 4, 2013)

Automobile Medical Fee Schedule Frequently Asked Questions (for rule effective January 4, 2013)
Automobile Insurance
Readoption with Amendments: N.J.A.C. 11:3
Adopted Repeal and New Rule: N.J.A.C. 11:3-16 Appendix, Exhibit A
Adopted Repeals: N.J.A.C. 11:3-45 Appendix and 11:3-46 Appendix, Exhibit C
Order A12-118: In the Matter of the Request of the New Jersey Association for Justice for a Stay of the Adoption of Amendments and New Rules, N.J.A.C. 11:3-4.2, Et Seq.
Order A12-117: In the Matter of the Request of the United Acupuncture Society of New Jersey for a Stay of the Adoption of Amendments to N.J.A.C. 11:3-29 Appendix, Exhibit 6
Order A12-116: In the Matter of the Request of the New Jersey Coalition for Quality Healthcare for a Stay of the Adoption of Amendments and New Rules, N.J.A.C. 11:3-4.2, Et Seq.
Order A12-114: In the Matter of the Request for a Stay of the Adoption of Amendments and New Rules, N.J.A.C. 11:3-4.2, et seq.
Notice of Adoption that appeared in 11/05/12 New Jersey Register
Document showing all changes to text of rules from Proposal, Notice of Substantial Change and Adoption
Proposed Substantial Changes to Medical Fee Schedule Rule - Comment period ended
Proposed Amendments to Medical Fee Schedule Rule (August 2011) - Comment period ended
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Uniform Attending Provider Treatment Plan Form
All providers treating PIP patients must use the Uniform Attending Provider Plan Form to submit Decision Point and Precertification Requests to Insurers.
Uniform Attending Provider Treatment Plan Form - PDF or MS Excel
List of Auto Insurers and web sites
Frequently Asked Questions
Order A04-143
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N.J.A.C. 11:3-4 Medical Protocols Rule (Care Paths, Decision Point Review, Precertification)
Full Text of Medical Protocols Rule
(Effective January 4, 2013, except as noted in the rule text)
 
Full text of Medical Protocols Rule Appendix
Registered PIP Vendors
Full Text of Medical Protocols Rule (Effective July 6, 2010)
Notice of Extension of Operative Date regarding Amendments to Medical Protocols Rule (November 4, 2013)
Adopted Amendments to Medical Protocols Rule (November 5, 2012)
Proposed Substantial Changes upon Adoption to Medical Protocols Rule - Comment period ended
Bulletin 12-03: Withdrawal of Bulletin No. 10-22
Proposed Amendments to Medical Protocols Rule (August 2011) - Comment period ended
Adopted Amendments to Medical Protocols Rule (July 2010)
Implementation of Protocols Rule Amendments FAQs
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21-Day Notice Rule
Text of 21-Day Notice Rule
List of Insurer Addresses to Send the Form
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PIP Alternate Dispute Resolution

Full Text of
Alternate Dispute Resolution Rule
(Effective January 4, 2013)

Administrator Quarterly Reports
2013 2012
1st Quarter 1st Quarter
2nd Quarter 2nd Quarter
3rd Quarter 3rd Quarter
4th Quarter 4th Quarter
   
2011 2010
1st Quarter 1st Quarter
2nd Quarter 2nd Quarter
3rd Quarter 3rd Quarter
4th Quarter 4th Quarter
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Full Text of Alternate Dispute Resolution Rule (Effective July 2010)
Notice of Extension of Operative Date regarding Alternate Dispute Resolution Rule (November 4, 2013)
Notice of Administrative Correction 11:3-5.6 (February 4, 2013)
Adopted Amendments to PIP Alternate Dispute Resolution Rule (November 5, 2012)
Proposed Substantial Changes to Alternate Dispute Resolution Rule - Comment period ended
Proposed Amendments to PIP Alternate Dispute Resolution Rule (August 2011) - Comment period ended
Bulletin 10-30: Interpretation of DOBI Rules on PIP Reimbursements
Adopted Amendments to PIP Alternate Dispute Resolution Rule (June 2009)
Notice to the Bar Concerning the Participation of Insurance Company Employees in PIP Arbitrations (March 18, 2009)

PIP ADR Administrator: Forthright

Certified Medical Review Organizations (Select Company Type: Medical Review Organization)
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Prompt Payment Regulation Information
Prompt Pay Statute (N.J.S.A. 39:6A-5g)
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Reference/Superceded Materials
More information
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OPRA
OPRA is a state law that was enacted to give the public greater access to government records maintained by public agencies in New Jersey.
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New Jersey Department of Banking and Insurance