![]() ![]() It is not based on the date the claim was sent or received. The claims filing deadline is based on the date of service on the claim. New Jersey - 90 or 180 days if submitted by a New Jersey participating health care provider for a New Jersey line of business member.To be considered timely, health care providers, other health care professionals and facilities are required to submit claims within the specified period from the date of service: Medical/clinical and administrative policy updates - 2022 Administrative Guide.Member rights and responsibilities - 2022 Administrative Guide.Clinical process definitions - 2022 Administrative Guide.Case management and disease management programs - 2022 Administrative Guide.Quality assurance - 2022 Administrative Guide.Claims recovery, appeals, disputes and grievances - 2022 Administrative Guide.Member billing - 2022 Administrative Guide. ![]() Claims process - 2022 Administrative Guide.Utilization reviews - 2022 Administrative Guide.Emergencies and urgent care - 2022 Administrative Guide.Radiology and cardiology procedures - 2022 Administrative Guide.Using non-participating health care providers or facilities - 2022 Administrative Guide.Utilization management - 2022 Administrative Guide.Quality of care and patient experience program - 2022 Administrative Guide.Health care provider responsibilities and standards - 2022 Administrative Guide. ![]()
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