New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 22 - HEALTH BENEFIT PLANS
Subchapter 3 - ELECTRONIC RECEIPT AND TRANSMISSION OF HEALTH CARE CLAIMS
Section 11:22-3.5 - Additional timetables

Universal Citation: NJ Admin Code 11:22-3.5

Current through Register Vol. 56, No. 18, September 16, 2024

(a) In accordance with 11:22-1.3, payers receiving an electronically filed claim shall individually acknowledge receipt of each claim by responding with a 277 Transactions, ANSI ASC X12.317, Version 003070, Release 7, Sub-release O, October 1996, Electronic Health Care Claim Status Notification acknowledgement. Nothing in this section shall prevent payers from also using any other responses including, but not limited to, the 997 Functional Acknowledgement of batch transfers in addition to providing a 277 acknowledgement.

(b) In the event a provider's system is unable to receive a 277 acknowledgement, the payer shall establish a mutually agreeable alternative means of acknowledgement with the provider.

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