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Billing & Reimbursement

Physicians, other health care professionals, ancillaries and hospitals should submit bills promptly after services are rendered.

Effective November 21, 2019, health care professionals and facilities will be required to use an X12 837 electronic transaction to submit bills in accordance with New Jersey’s Department of Labor and Workforce Development Rule N.J.A.C.12:235-1.9. Failure to comply with this rule may result in denied bills.

HCS is the administrator for the State of New Jersey employees’ workers’ compensation program. Bills for State of New Jersey claimants must be submitted to HCS. Hospitals and ancillary providers must submit supporting medical documentation using a managed file transfer (MFT).

All other claimants’ bills must be submitted to the claimants’ insurer or the Third Party Administrator (TPA).