Approved NJ Pre-Certification & DPR Plans
In accordance with NJ Automobile Insurance Cost Reduction Act, First Managed Care Option, Inc. has been approved to administer the Personal Injury Projection Benefits; Medical Protocols; Diagnostic Tests rules and Decision Point Review Plans on behalf of the companies listed below.
Please click on the appropriate link to review their approved plan and any related materials.
|Acceptance Indemnity Insurance||Transguard Insurance Company of America||Harco National|
|(Plan Approval Pending)||(Plan Approval Pending)|
|Garden State Municipal JIF||Lancer Insurance Company||Public Entity JIF|
|Tokio Marine of America||Greenwich Insurance Company|
New Jersey Department of Banking & Insurance
Notice to Providers treating NJ insured patients injured as a result of an auto accident:
In accordance with Order No.: A04-143, effective October 27, 2004, the Attending Provider Treatment Plan form shall be used by all Providers to submit Decision Point Review and Pre-certification Requests. No other forms for this purpose are permitted.
Visit the NJ Department of Banking & Insurance website at http://www.nj.gov/dobi/aicrapg.htm to obtain a copy of the complete Order No.: A04-143 and other valuable resource materials and information.
Click here to go back to the Auto page.
PIP Information for Healthcare Providers
Implementation of Internal Appeal Rule
Fee Schedule Rules
FAQs About the Uniform Attending Provider Form
NJDOBI Legislative and Regulatory Affairs
National Associations of Insurance Commissioners
National Association of Insurance Commissioners – NIAC
Attending Provider Treatment Form
Pre-Service Appeal PDF Pre-Service Appeal XLS