NJ S3799

Requires health insurance carrier committees to notify physician applicants within 30 days if their credentialing application is incomplete; applications are automatically deemed complete if no notification is provided within that timeframe

Mandates that carriers post universal participation and renewal forms on their websites, along with explanations of the credentialing process, required documents, and timelines

Requires carriers to retroactively reimburse physicians for services provided to network patients during the credentialing period, dating back to the application filing date, if the application is ultimately approved

Prohibits carriers from requiring physicians already credentialed with the carrier to submit new applications solely because they changed employers or health care facilities within New Jersey

Authorizes the Department of Banking and Insurance to receive complaints, investigate violations, and impose civil penalties on carriers that violate credentialing requirements, with a two-year statute of limitations for filing complaints