inadvertent out-of-network services

Close up of health insurance formThe New Jersey Out-of-Network Consumer Protection, Transparency, Cost Containment and Accountability Act takes effect today, August 30, 2018, and requires all licensed health care professionals in New Jersey (including physicians, nurse practitioners and physician assistants, among others) who bill health benefits plans issued or delivered in New Jersey to provide certain disclosures to patients enrolled in such Plans.

The Act also contains additional obligations for physicians, including with respect to billing certain out-of-network services.  For more information regarding the Act’s impact on health care professionals and their employers, please see our Fox Rothschild Health Law Alert.