{"id":7899,"date":"2018-08-28T16:50:51","date_gmt":"2018-08-28T20:50:51","guid":{"rendered":"http:\/\/blogs.cooperhealth.org\/weeklyrounds\/?p=7899"},"modified":"2018-08-28T17:48:03","modified_gmt":"2018-08-28T21:48:03","slug":"new-out-of-network-law-in-effect-this-week-what-you-need-to-know","status":"publish","type":"post","link":"https:\/\/blogs.cooperhealth.org\/weeklyrounds\/2018\/08\/new-out-of-network-law-in-effect-this-week-what-you-need-to-know\/","title":{"rendered":"New Out-of-Network Law in Effect This Week: What You Need to Know"},"content":{"rendered":"

NJ Governor Phil Murphy recently signed into law the Out-of-Network (OON) Consumer Protection, Transparency, Cost Containment and Accountability Act, which goes into effect on Wednesday, August 29, 2018<\/strong>.<\/p>\n

The Act requires that consumers receive certain information from providers prior to scheduling an appointment for non-emergency <\/strong>or elective covered services in hospital settings, ambulatory surgical, or procedural settings\u00a0 <\/strong>about whether the provider is in network or out of network with the consumer\u2019s health plan and about how that affects their out-of-pocket costs.<\/p>\n

The Act also limits patients\u2019 out-of-pocket costs when their health plan is in network with a provider and when they receive emergency or inadvertent out-of-network services and sets up a process for resolving disputes over how much carriers must pay providers for out-of-network services.<\/p>\n

Cooper is complying with this law by:<\/p>\n