New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 24A - HEALTH CARE QUALITY ACT APPLICATION TO INSURANCE COMPANIES, HEALTH SERVICE CORPORATIONS, HOSPITAL SERVICE CORPORATIONS, AND MEDICAL SERVICE CORPORATIONS
Subchapter 3 - UTILIZATION MANAGEMENT
- Section 11:24A-3.1 - Scope and applicability
- Section 11:24A-3.2 - Disclosure requirements
- Section 11:24A-3.3 - Designation of a medical director
- Section 11:24A-3.4 - Utilization management program
- Section 11:24A-3.5 - Internal adverse benefit determinations appeals process
- Section 11:24A-3.6 - Independent health care appeals process
- Section 11:24A-3.7 - Carrier action on the IURO decisions
- Section 11:24A-3.8 - Continuous quality improvement
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