NJ S594

Prohibits health insurance payers from using "downcoding" to reduce claim reimbursements below what providers are entitled to under their contracts for services actually performed

Defines downcoding as adjusting a submitted claim to a less complex or lower-cost service code, including through the use of remark codes, to pay providers less than contractually required

Applies to all health insurance carriers, health maintenance organizations, organized delivery systems, and their agents doing business in New Jersey

Requires the Department of Banking and Insurance to adopt regulations implementing the prohibition

Takes effect 180 days after enactment