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17:48G-1 Definitions relative to dental decision regulation. |
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New Jersey Statutes (Unannotated) / NEW JERSEY GENERAL AND PERMANENT STATUTES (UPDATED THROUGH P.L.2023, c.256, and J.R.18) / TITLE 17 CORPORATIONS AND INSTITUTIONS FOR FINANCE AND INSURANCE |
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17: 48G-1 Definitions relative to dental decision regulation. 17: 48G-1 Definitions relative to dental decision regulation. 1. As used in this act: "Adverse dental decision" means a dental decision by an insurer or a third party administrator, or any other person acting on its behalf to deny, reduce, or fail to provide payment, in...
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whole or in part, for a covered service based upon a dental decision. "Board" means the New Jersey State Board of Dentistry. " Dental decision" means a decision which is based upon a dental diagnosis or a dental judgment related to dental services performed or to be performed in the State of New Jersey, including, but not limited to, any decision relating to: the quality or appropriateness...
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