Author Topic: C.32 Out-of-Network Arbitration (OON) - maximus  (Read 1299 times)


  • Newbie
  • *
  • Posts: 5
C.32 Out-of-Network Arbitration (OON) - maximus
« on: February 12, 2020, 03:11:09 PM »
Hi Guys,

We have been using the njdobi platform for arbitration services of our OON cases. 90% of the time we have uploaded cases for arb with Horizon BCBS NJ as primary.

Does anyone has experience of using Maximus? Need to know what other insurance plans are eligible for arbitration through njdobi.

Claim Care


  • Administrator
  • Hero Member
  • *****
  • Posts: 5927
    • Solutions Medical Billing
Re: C.32 Out-of-Network Arbitration (OON) - maximus
« Reply #1 on: February 13, 2020, 10:22:44 AM »
I'm sorry, we do not have experience with either one.  :(

Have you checked the website for a listing?
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF


  • Hero Member
  • *****
  • Posts: 4562
    • One Stop Resources & Networking for Medical Billers
Re: C.32 Out-of-Network Arbitration (OON) - maximus
« Reply #2 on: February 25, 2020, 04:33:55 PM »
This is through NJ Dept of banking/Insurance (PICPA), can be useful but NOT useable for ERISA plan's. Look at your patient plans, most likely you have more ERISA than you do non ERISA. I think I used these forms ONCE for a market exchange plan.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers