State RegulationsNJ specificDifficulty 1/5
The Health Care Claims Authorization Processing and Payment Act (HCAPPA) is codified in which part of New Jersey law?
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Answer & full 3-part explanation (select an option above, or peek)
Why B is correct
HCAPPA — the Health Care Claims Authorization Processing and Payment Act — is codified at N.J.S.A. 17B:30-51 et seq. The act governs how carriers must authorize, process, and pay health care claims in New Jersey's insured group and individual health business, and the New Jersey Department of Banking and Insurance enforces its requirements. The other citations belong to group coverage, the reform programs, and the Medicare supplement chapter respectively.
Why the other options are wrong
- A) N.J.S.A. 17B:27-26 et seq. begins the group health coverage chapter, not the claims act.
- C) N.J.S.A. 17B:27A-1 begins the health reform programs chapter, not HCAPPA.
- D) N.J.S.A. 17B:26A-8 addresses the Medicare supplement examination period, not the claims processing act.
Memory hook
HCAPPA sits at 17B:30-51 — claims law in the 30s.