New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 24 - HEALTH MAINTENANCE ORGANIZATIONS
Subchapter 8 - UTILIZATION MANAGEMENT
- Section 11:24-8.1 - Utilization management program
- Section 11:24-8.2 - Utilization management staff availability
- Section 11:24-8.3 - Utilization management determinations
- Section 11:24-8.4 - Appeals of adverse benefit determinations
- Section 11:24-8.5 - Informal internal utilization management appeal process (Stage 1)
- Section 11:24-8.6 - Formal internal utilization management appeal process (Stage 2)
- Section 11:24-8.7 - External appeals process
- Section 11:24-8.8 - General requirements for independent utilization review organizations
- Section 11:24-8.9 - Notice requirement
- Appendix - APPENDIX
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