Important information about New Jersey Personal Injury Protection Claims

In accordance with the auto insurance claims requirements for the State of New Jersey, documents related to GEICO New Jersey's Decision Point Review Plan can be reviewed below:

For Losses Occuring Before October 1, 2012:

All Decision Point Review and Pre-Certification requests are to be submitted to GEICO’s vendor, Premier Prizm Solutions, LLC, the administrator of GEICO New Jersey's Decision Point Review and Pre-Certification process.

By Order of the New Jersey Department of Banking and Insurance, Order No. A04-143, providers must submit all Decision Point Review and Pre-Certification requests on the uniform Attending Provider Treatment Plan form for requests related to injured insured’s NJ Personal Injury Protection benefits. You can access the form here.

Mailing Instructions:

All Decision Point Review, Pre-Certification and internal appeals related documents are to be submitted to:

Premier Prizm Solutions, LLC

10 East Stow Road

Suite 100

Marlton, New Jersey 08053

Phone Number: 856-596-5600

Fax Number: 856-596-6300

Email Address: AICRA@PremierPrizm.com 

For Losses Occurring On Or After October 1, 2012:

In accordance with the auto insurance claims requirements for the State of New Jersey, documents related to GEICO New Jersey's Decision Point Review Plan can be reviewed below:

All Decision Point Review and Pre-Certification requests are to be submitted to GEICO’s vendor, Auto Injury Solutions, the administrator of GEICO New Jersey's Decision Point Review and Pre-Certification process.

By Order of the New Jersey Department of Banking and Insurance, Order No. A04-143, providers must submit all Decision Point Review and Pre-Certification requests on the uniform Attending Provider Treatment Plan form for requests related to injured insureds' NJ Personal Injury Protection benefits. You can access the form here.

Mailing Instructions:

All Decision Point Review, Pre-Certification and internal appeals related documents are to be submitted to:

Auto Injury Solutions

P.O. Box 5038

Woodbridge, New Jersey 07095

Fax Number: 866-257-2323

All Other Mail, Including Medical Bills, Besides Decision Point Review, Pre-certification (APTP) And Internal Appeals

Please continue to send all other documents for claims handled by GEICO Insurance companies in New Jersey, regardless of the date of loss, to:

GEICO

P.O. Box 9515

Fredericksburg, VA 22403-9515

Fax Number: 516-213-1484

Application of Co-payments And Deductibles

In accordance with new regulations adopted by the New Jersey Department of Banking and Insurance pursuant to the application of penalty co-payments set forth in N.J.A.C. 11:3-4.4, GEICO applies co-payments and deductibles in the following order:

For losses occurring before October 1, 2012:

1.Insured Deductible 

2.Insured Co-Payment 

3.Penalty Co-Payments (if applicable) 

For losses occurring on or after October 1, 2012:

1. Penalty Co-payments (if applicable)

2. Insured Deductible

3. Insured Co-payment

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