State RegulationsNJ specificDifficulty 1/5
Under New Jersey's prompt-pay rules for health claims, within how many days must a carrier pay an electronic clean claim?
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Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
New Jersey's prompt-pay deadlines, established under N.J.S.A. 26:2J-8.1d and implemented in N.J.A.C. 11:22-1.6, require carriers to pay electronic clean claims within 30 calendar days. The New Jersey Department of Banking and Insurance enforces these deadlines through its market-conduct authority, and late payment exposes the carrier to interest consequences. The 40-day figure is reserved for paper claims, making the submission mode the distinguishing fact.
Why the other options are wrong
- B) 40 calendar days is the deadline for paper clean claims, not electronic ones.
- C) 31 days describes the point at which interest has already begun accruing on an unpaid electronic claim, not the payment deadline.
- D) 10 days is far shorter than the statutory deadline and belongs to other New Jersey timing rules, not prompt pay.
Memory hook
Electronic is eager: clean claims paid in 30 days.