{"data":{"id":"us-nj/n.j.-stat.-17b-30-55.16","jurisdiction":"us-nj","citation":"N.J. Stat. § 17B:30-55.16","heading":"Statistics available regarding prior authorization approvals, denials, website.","body":"17.  A payer shall make statistics available regarding prior authorization approvals and denials on its Internet website in a readily accessible format, as determined by the commissioner.  Payers shall include categories for:\na.\thealth care provider specialty;\nb.\tmedication or diagnostic tests and procedures;\nc.\tindication offered;\nd.\treason for denial;\ne.\twhether prior authorization determinations were:\n(1)\tappealed; or\n(2)\tapproved or denied on appeal;\nf.\tthe time between submission of prior authorization requests and the determination;\ng.\tthe average median time elapsed between a request for clinical records from the requesting health care provider and receipt of adequate clinical records to complete the prior authorization; and\nh.\tthe number of appeals generated for cases denied in which there was inadequate or no prior clinical information.\nL.2023, c.296, s.17.","path":["TITLE 17B INSURANCE"],"source_url":"https://pub.njleg.state.nj.us/statutes/STATUTES-TEXT.zip","current_through":"P.L.2025, c.405, and J.R.22","vintage":"","retrieved_at":"2026-08-27T17:54:13Z","sha256":"a8b3b03ffe52d997ad0c55830a645cfe3c07471004c69f6892f4d659a5f158dd","source_id":"us-nj","stale":true,"prev":"us-nj/n.j.-stat.-17b-30-55.15","next":"us-nj/n.j.-stat.-17b-30-55.17"},"notice":"GroundRules: Original legal text. Not legal advice."}