New Jersey § 39:6a-5

§ 39:6a-5.

As used in this act: “ Complete electronic medical bill ” means a medical bill that meets all of the following criteria: (1) it is submitted

in the correct uniform billing format, with the correct uniform billing code sets,

transmitted in compliance with the guidelines; (2) the bill and electronic attachments

provide all information required under the guidelines established by this act; and

(3) the health care provider or its billing representative has provided all information

that the insurance carrier or its third party administrator requested. “ Electronic bill ” means a communication between computerized data exchange systems that complies with

the guidelines enumerated; or a mutually agreed upon electronic data exchange plan

established between health care providers or their billing representatives and insurance

companies or their third party administrators. “ Guidelines ” means the current version of the ASC X12 005010 format. “ Insurance carrier ” means any company underwriting personal injury protection coverage benefits payable

under a standard automobile insurance policy pursuant to section 4 of P.L.1972, c.

70 ( C.34:6A-4 ); a basic automobile insurance policy pursuant to section 4 of P.L.1998, c. 21 ( C.39:6A-3.1 ); or emergency care medical expense benefits payable under a special automobile

insurance policy pursuant to section 45 of P.L.2003, c. 89 ( C.39:6A-3.3 ), and shall include any managed care organization associated with the carrier.