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. ![]()
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