In accordance with newly adopted Personal Injury Protection Benefits; Medical Protocols; Diagnostic Tests rules, Consolidated Services Group has been chosen by the Group of insurance carriers below to administer their Decision Point Review plans. Under these newly adopted rules, it is required to provide informational materials available via the World Wide Web.
For a detailed copy of the Decision Point/Pre-Certification Plan, go toDecision Point/Pre-Certification Plan (Dates of Loss Prior to 11/1/2011)
For Conditional Assignment of Benefits for Standard and Basic Policies with endorsement 6126H, go toConditional Assignment of Benefits (Dates of Loss Prior to 11/1/2011)
For additional resource materials and information, go to https://www.statefarm.com/claims/claims-help/pip-and-mpc-forms.
Notice to Providers treating NJ insured patients injured as a result of an auto accident:
In accordance with Order No.: A16-101, effective February 9, 2016, the revised Attending Provider Treatment Plan form shall be used by all Providers to submit Decision Point Review and Pre-certification Requests.
To obtain a copy of this form, click on the following link - http://www.state.nj.us/dobi/pipinfo/aptp_ver160310.pdf. 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.: A16-101 and other valuable resource materials and information.