| Home > Insurance Division > Managed Care > Contact Information for Managed Care Filings | ||
| Contact Information for Managed Care Filings | ||
| All correspondence may be addressed to: New Jersey Department of Banking and Insurance 20 West State Street, 11th Floor P.O. Box 325 Trenton, NJ 08625-0325 |
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| Valuation Bureau | ||
| (Applications for licenses and certifications; provider agreements and related contracts; annual supplements) Main Telephone Number: (609) 292-5427 FAX: (609) 633-0527 |
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| Holly Gaenzle Assistant Chief, Valuations Bureau Specialties: Managed care operational systems evaluation, and monitoring (UM, QA, CQI, network adequacy, credentialing); provider contracts and management agreements; HMO licensing; HMO annual reports, surveys and examinations Extension: 50308 |
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| Sherri Eure-Washington Health Care Consultant Specialties: Systems, network adequacy and contract reviews for HMOs, ODSs, SCAs, and WCMCOs; evaluation of HMO Annual Supplements, quality assessment of HMO operations Extension: 50356 |
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| Barbara Hanlon Health Care Consultant Specialties: Systems, network adequacy and contract reviews for HMOs, ODS, SCAs, and WCMCOs; evaluation of HMO Annual Supplements, quality assessment of HMO operations Extension: 50325 |
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| Adelaide Phelan, FLMI Insurance Analyst Specialties: Third Party Administrators and Billing Services, Health insurer admissions, Organized Delivery Systems (financial), Self-Funded Multiple Employer Welfare Arrangement (MEWA) contracts Extension: 50328 |
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| Life and Health Actuarial | ||
(Rate filings, certain data submissions, including HMO Performance Reports, enrollment data, prompt pay reports, provider negotiation reports) Main Telephone Number: (609) 292-5427 FAX: (609) 633-0527 |
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| Health Insurance Bureau | ||
| (Policy forms and related document filings) Main Telephone Number: (609) 292-5427 FAX: (609) 633-0527 |
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James A. Benyon, FLMI, HIA, MHP Insurance Analyst Specialty: Group life and health including Group Medicare Supplement, Stop-Loss, and other group form filings. Extension: 50309 |
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Glenn Lurie, FLMI, AIRC |
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| Charles R. Uhl, FLMI, HIA, MHP, ALHC, PAHM Insurance Analyst Specialty: Group life and health including Group Long Term Care, legal insurance, TDB, Selective Contracting Arrangements, Health Service Corporations, SEH decreasing benefit riders and other group form filings Extension: 50336 |
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| For questions related to Financial Reports for all Managed Care Products: | ||
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| Frank Cipriani Manager, Health Entities Financial Operations, Office of Solvency Regulation (609) 292-5350 extension 50452 |
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| Contacts for Managed Care Complaints and the Independent Health Care Appeals Program: | ||
| Office of Managed Care Hotline: 1-888-393-1062 Office of Managed Care Fax: (609) 633-0807 Consumer Protection Services Main Line: (609) 292-7272 Online assistance form |
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| Sylvia Allen-Ware, JD, MT (ASCP) Chief, Office of Managed Care, Consumer Protection Services Extension: 50476 |
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| Betsy Reetz, RN, BSN Supervisor of Complaint Investigation, Office of Managed Care, Consumer Protection Services Extension: 50491 |
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| Bosede Ogunleye, RN Supervising Health Care Evaluator, Office of Managed Care, Consumer Protection Services Independent Health Care Appeals Program Extension: 50494 |
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| Veronica Schmitt, RN, BSN, MA Special Investigator, Provider Prompt Pay, Office of Managed Care, Consumer Protection Services Provider complaints and claims issues Extension: 50528 |
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| Copyright © 2011,
State of New Jersey New Jersey Department of Banking and Insurance |
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