NJCCN and Qualcare Inc.

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Following long standing discussion, Qualcare Inc., associated with the Saint Barnabas Plan, has stated, ” It is appropriate to recognize Chiropractic Neurology, if proper credentialing criteria are met.” The decision was made after appropriate committees considered the issue. “These criteria were taken from documents that include State of NJ Statutes and materials from the American Chiropractic Neurology Board and the New Jersey Chiropractic Council on Neurology.” In light of this decision, procedures performed by chiropractic neurologists which were formerly denied reimbursement, will now be reimbursed appropriately, provided adequate documentation of medical necessity is met.  The company is the first insurance carrier to make such a profound declaration, although they are not the first to provide fair reimbursement practices for chiropractic neurologists.  It is however refreshing to see an insurance carrier make a statement like this volitionally, without being forced to through litigation or by any authoritative agency.  Hopefully other carriers, like Blue Cross Blue Sheild of NJ, will step up to the plate and make similar decisions.

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