Pursuant to N.J.A.C. 11:3-4.7, USAA must make available for medical providers and insured claimants its Decision Point Review and Precertification Plan on the World Wide Web. Medical providers and insured claimants can obtain this informational material by downloading the document (opens in new window).
By order of the New Jersey Department of Banking and Insurance, Order No. A17-103, effective April 17, 2017, providers must submit all decision point review and precertification requests on the uniform Attending Provider Treatment Plan form for requests related to insured claimant's NJ Personal Injury Protection benefits.
All decision point review and precertification requests are to be submitted to USAA's vendor, CCC, which administers USAA's NJ Decision Point Review and precertification program.
CCC
USAA – First Party Medical Mail
PO Box 14107
Lexington, KY 40512
Phone: 877-647-0012.
Follow the prompts for precertification or billing questions.
Fax: 877-395-7127 for precertification requests