Frequently Asked Questions
How long before my bill is paid?
By law, the Office is required to render a decision within 3 months of receiving sufficient documentation.
What are the common reasons why there may be a delay in payment?
- Explanation of Benefits (insurance statement from the health insurance company). The Office requires a copy of this statement from either the victim or the provider for review.
- Charity Care: uninsured patients must first apply for Charity Care and provide a copy of the final determination.
- Itemized Bills: The Office requires an itemized bill (not a billing statement) with the following information: Name and address of provider, tax I.D. number, patient name, date of service, procedure code and bill amount.
- Medical Records: The Office requires medical records to determine if the treatment is related to the crime and injury.
- Relevant Documentation: Any other relevant documentation necessary to process the claim (e.g. Civil Suit Recovery)
How often should our office send a bill when the patient is receiving ongoing treatment?
Ongoing treatment, such as physical therapy or counseling services, should be billed to the office on a monthly basis.
Who would not be eligible for compensation?
- A victim whose actions or conduct contributed to the crime and injuries suffered
- A victim who was engaged in illegal activity at the time of the crime
- An offender or an accomplice of the offender
- Anyone incarcerated for a crime when the incident occurred
- A victim of a motor vehicle or boating accident except those listed under Crimes for which Compensation is Available
- A victim of a motor vehicle or boating incident where the victim knew, or had reason to believe, the vehicle or vessel was being operated by the offender while under the influence of alcohol or narcotics
- A victim who is a non-resident of New Jersey and the crime incurred in a location other than New Jersey
- A victim who has active criminal charges or an open warrant for indictable offense
- Outstanding violent crimes penalties