N.J. Rev. Stat. § 26:2S-6.1. Carriers offering both in-network and out-of-network benefits; certain reimbursements: Health Care Quality Act – New Jersey
Status: EnactedYear Enacted: 2001
Year Amended: 2011
File: Download
States that in the event a covered person is admitted to an out of network or in network provider for medically necessary services or receives covered medically necessary covered services from an out of network or in network provider, that the carrier shall reimburse the health care facility for the services provided at the carrier’s full contracted rate without penalty to the paitent.
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