Brach Eichler Filed Comments with DOBI Concerning Proposed Amendments to PIP Appeal RulesJanuary 4, 2016
Brach Eichler endorses the proposed amendments with the exception of pre-service appeals being applicable to secondary providers. Specifically, secondary providers, such as licensed ASCs, are not privy to pre-certification requests or subsequent denials from carriers concerning medical necessity. Therefore, these providers should not have a regulatory obligation to comply with the appeals process as it concerns medical treatment of insureds.
Further, Brach Eichler requested affirmation that the proposed amendment in no way conflicts with the statute of limitations set forth in N.J.S.A. 39:6A-13.1.
Click here to read the letter to DOBI.