The New Jersey Prompt Pay Law requires that Delta Dental process "clean" claims in 30 days if submitted electronically and 40 days if submitted by paper.

According to the New Jersey Administrative Code ("N.J.A.C."), Title 11, Chapter 22, Section 1.2, a "clean" claim means:

1. The claim is for a service or supply covered by the health benefits plan or dental plan;

2. The claim is submitted with all of the information requested by the carrier on the claim form or in other instructions distributed to the provider or covered person;

3. The person to whom the service or supply was provided was covered by the carrier's health benefits or dental plan on the date of service;

4. The carrier does not reasonably believe that the claim has been submitted fraudulently; and

5. The claim does not require special treatment. [For the purposes of this subchapter], special treatment means unusual claim processing is required to determine whether a service or supply is covered, such as claims involving experimental treatments or newly approved medications. The circumstances requiring special treatment should be documented in the claim file.