Nov 4, 2025 | Insurance News, News for Members
Starting January 1, 2026, all payments made to the ANJC including dues, events and education events will include a 3% processing fee. To avoid this fee, you’re welcome to update your automatic payment settings to ACH (bank transfer) or mail a...
Oct 27, 2025 | Insurance News, News for Members
October 27, 2025 Update The ANJC has been in continuous contact with Horizon regarding the K158 denial issue, which has affected many of our members.On Friday, October 24, Horizon shared the information below: A new claim edit within Horizon was scheduled for...
Oct 21, 2025 | Insurance News, News for Members
Automobile insurers file hundreds of lawsuits in state and federal courts against doctors under the NJ Insurance Fraud Prevention Act (NJIFPA) and NJ RICO. They seek repayment of six years of claims multiplied by three plus attorney’s fees and costs and have the...
Sep 30, 2025 | Insurance News, News for Members
Important Notice Provider Directory Management—Ensure Your Directory Listings Are Accurate Under the No Surprises Act (NSA), health plans must maintain an accurate database provider website and verify the accuracy of the information at least every 90 days. The health...
Aug 9, 2025 | Insurance News, News for Members
Medicare CMS Phishing Scheme The Centers for Medicare & Medicaid Services (CMS) have become aware of a scheme to obtain patient records through fax requests. The faxes sent to providers demanding all patient information and medical records for Medicare patients....
Aug 4, 2025 | ANJC News & Updates, Insurance News, News for Members
By Dr. Richard C. Healy, ANJC Medicare Consultant As Medicare Advantage plans gain popularity, many providers question the process of filing an appeal when they receive an organizational determination resulting in an adverse denial of a claim. An Organizational...
