34:15-144. Rules, regulations.

The Commissioner of Labor and Workforce Development shall adopt rules and
regulations which:
a. require that all healthcare providers, their billing representative, or any company that
has purchased the rights to pursue their bill submit complete electronic medical bills for
payment on standardized electronic forms following the guidelines established pursuant
to this act;
b. require employers, workers' compensation insurance carriers of employers, or
workers' compensation third-party administrators to comply with the guidelines and
accept electronic bills for the payment of medical services;
c. ensure confidentiality of medical information submitted on electronic bills for
payment of medical services pursuant to the "Workers' Compensation Medical
Information Confidentiality Act," sections 5 through 9 of P.L.2001, c.326 (C.34:15-128.1
et seq.);
d. require that employers, workers' compensation insurance carriers of employers, or
workers' compensation third party administrators acknowledge receipt of a complete
electronic medical bill to the party that sent the complete electronic medical bill in
compliance with the guidelines;
e. provide that payment for a complete electronic medical bill deemed by the employer,
workers' compensation insurance carrier, or the workers' compensation third-party
administrator to be compensable shall be paid within 60 days or less; and
f. ensure that employers, workers' compensation insurance carriers for the employer, and
their third party administrators may exchange electronic data and establish payment
deadlines through PPO or IPA contracts or agreements with health care providers or their
rev. date June 25, 2019
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billing representatives in a non-prescribed format or timeline, independent of the
guidelines.