auto PIP
If You're Hurt in a Car Accident

PIP Rules and Forms

It's the Law

New Jersey law requires Decision Point Review, Precertification and Notification Requirements for patients who are injured in auto accidents and their medical providers.

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Everything You Need to Know

We've gathered all the forms and information you need if you’re injured in an auto accident. Hopefully, that won't ever happen, but if it does, this is what you need:

Forms to View and Print

Application for Benefits — Personal Injury Protection Form.

Important no-fault medical information for the insured.

Important requirements for the health care provider.

Health care providers must send their treatment plans to NJM in writing using the Attending Provider Treatment Plan (APTP) form.

All requests for surgical procedures (CPTs 10000-69999) have to submitted with the Surgery Precertification Request NJ No-Fault Claims.

All requests for pre-service appeal must include a fully completed New Jersey Pre-Service Appeal Form and faxed to the appropriate NJM office below.

All requests for post-service appeal must include a fully completed New Jersey Post-Service Appeal Form faxed to NJM at 1-609-963-6075.

Mail

NJM Insurance Group
Attn: PIP Department
301 Sullivan Way
PO Box 928
West Trenton, NJ 08628-0278

Fax

1-609-493-1277 West Trenton
1-609-493-1565 Parsippany
1-609-493-1474 Hammonton