A 5793 New Jersey General Assembly · 2024-2025 Regular Session

Prohibits health insurance carriers from denying payment of claim while seeking coordination of benefits information.

This bill prohibits health insurance carriers in New Jersey from denying payment for medical claims while they are still gathering information to determine which insurance policy should pay first. It directly affects health insurance companies, healthcare providers, and patients who have multiple insurance plans. The key provision requires insurers to pay claims within specified timeframes unless they have already received all necessary documentation to verify coverage and prevent fraud. The bill aims to prevent delays in receiving medical care by stopping insurers from using coordination of benefits inquiries as an excuse to withhold payment.
Sub-Topics: Insurance
Bill status in committee 1 of 4 stages cleared
Introduction
Jun 2025
Committee Review
Floor Vote
Governor
Introduced Jun 16, 2025 Last action Jun 16, 2025
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
1
Key actions
0
Committee
0
Jun 16, 2025
Introduced
Introduced in the Assembly, Referred to Assembly Financial Institutions and Insurance Committee
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Lou Greenwald
Lou Greenwald
DDemocratic
NJ
6