Checklist for preparing PIP No-Fault Arbitration case
PIP No-Fault Appeal Breakdown
As of April 17, 2017, the NJ No-Fault PIP Appeals Process has Changed. The new process was stated in NJAC 11:3-4.7B Requirement for insurer Internal Appeal procedure document.
NJ PIP No-Fault Pre-Service Appeal Form
There are three reasons to submit NJ PIP No-Fault Pre-Service Appeal Form:
Untimely response by carrier to pre-certification
Medical Necessity Dispute
NJ PIP No-Fault Post-Service Appeal Form
After a denial, a NJ PIP No-Fault Post-Service Appeal Form must be submitted 45 days prior to filing an arbitration.