Prohibits downcoding in health insurance claims.

This bill prohibits New Jersey health insurance companies and related payers from downcoding claims - adjusting a provider's submitted service to a lower-cost code to pay less than the actual service billed. It directly affects healthcare providers (like doctors and hospitals) who submit claims for reimbursement, ensuring they can collect for the exact services performed. The law bans payers from using downcoding to reduce payments, defining it as changing claims to less complex services without justification. The Department of Banking and Insurance must create regulations to implement this prohibition.