New Jersey Auto Pre-Certification Client Resources
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Amica Insurance
Downloads
Excel
Auto One Insurance
Downloads
Excel
CountryWay
Electric Insurance Company
Downloads
Excel
GEICO
Important information about New Jersey Personal Injury Protection
Effective October 28th, 2008, we have changed our New Jersey Family Automobile Isurance Policies (A-30 and A-99) for new business and renewals. Please see below for the correct documents related to your policy.
For all claims involving policies with effective dates prior to October 29, 2008:
- Decision Point Review & Pre-Certification Requirements: Premier Prizm Solutions.
- Personal Injury Protection Plan Administration for patients and medical providers.
Regarding the application of the co-pay and deductible:
Application of co-payments and deductibles
In accordance with new regulations adopted by the New Jersey Department of Banking and Insurance pursuant to the application of penalty co-payments set forth in N.J.A.C. 11:3-4.4(g), GEICO applies co-payments and deductibles in the following order:
For all claims involving policies with effective dates prior to October 29, 2008:
- Insured Deductible
- Insured Co-Payment
- Penalty Co-Payments (if applicable)
For all claims involving new business or renewals purchased on or after October 29, 2008:
- Insured Deductible
- Insured Co-Payment
- Penalty Co-Payments (if applicable)
Downloads
Prior to October 29, 2008:
Dear Patient Letter
Dear Provider Letter
State Approved Letter
Decision Point Review & Pre-Certification Requirements
On or after October 29, 2008:
Dear Patient Letter
Dear Provider Letter
State Approved Letter
Decision Point Review & Pre-Certification Requirements
Excel
Guard Insurance Group
Downloads
Excel
IDS Property Casualty Insurance Company
Liberty Mutual
Mercury Insurance Group
MetLife
Premier Prizm Solutions
Strategic Partners
Atlantic Imaging Group
Company Information
ATLANTIC Imaging Group, LLC (ATLANTIC) is a Diagnostic Radiology Network primarily servicing the Personal Injury and Workers Compensation market and is the only company in the country to pre-fund its claims within 72 hours of receipt of the claim.
Contact Information
William J. DeGasperis
Managing Member
Phone: 973-451-9415 ext 8232
E-mail: bill@aignetwork.com
Website: http://www.aignetwork.com
IHCFA Paperless Billing
Company Information
Experts in both the Provider Community and the Insurance Industry have combined their collective knowledge to develop the iHCFA.com initiative. Using a team of highly proficient and technologically advanced software developers, we have created a HIPPA/HCFA compliant website that is safe and easy to navigate.
Contact Information
Surface Mail
2 Ridgedale Ave.
Suite A-10
Cedar Knolls, NJ 07927
Phone: 973-451-8232
Fax: 973-451-9541
Website: http://www.ihcfa.com
myMatrixx
Company Information
Since 2001 myMatrixx has focused on making the processes associated with workers' compensation claims easy and simple. We've provided self-insured employers, third party administrators, managed care companies, and workers' compensation and auto insurance companies with the appropriate information to make solid business decisions.
Contact Information
myMatrixx
5706 Benjamin Center Drive
Suite 103
Tampa, FL 33634-5262
Customer Service: 1-877-804-4900
Sales: 1-800-785-0884
Website: http://www.mymatrixx.com/webfront/home.jsp
PRIME Health Services
Company Information
Prime Health Services (Prime Health) is a managed care company that offers a full spectrum of services, including a Preferred Provider Organization (PPO) ready for access with customizable solutions, as well as international PPO and review offerings. Prime Health's PPOs include Workers' Compensation, Group Health, and Auto Liability networks.
Contact Information
Toll Free: 866-348-3887
Phone: 615-329-4098
Fax: 615-329-4751
E-mail: info@prime-health.net
Website: http://primehealthservices.com
Progressive Medical Inc.
Company Information
Progressive Medical offers a vast portfolio of cost management services and products to the managed care industry. We have been a Pharmacy Benefits Manager and provider of Ancillary Health Care Services to carriers, self insured employers and third party administrators for 24 years in the areas of workers' compensation and Auto No-Fault.
Contact Information
Progressive Medical, Inc.
250 Progressive Way
Westerville, OH 43082
Phone: 1-877-TELLUS9
Phone: 1-800-777-3574
Fax: 1-614-923-7650
Website: http://www.progressive-medical.com
