Legal Process

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
Administrative Dispute
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.

Documents

Check List for Arbitration

Required information for arbitration process

Download

New Jersey 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
Administrative Dispute
Medical Necessity Dispute

Download

New Jersey 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.

Download

Requirement for Insurer Internal Appeal Procedure

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.

Download
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