New Jersey legal term
Health care claims fraud in New Jersey Criminal Law
Current through 2026 New Jersey legislative session
In New Jersey criminal law, “Health care claims fraud” is a term defined by statute rather than by its everyday meaning. Its statutory definition — quoted verbatim below — controls how the term is applied throughout the New Jersey criminal code.
What does “Health care claims fraud” mean in New Jersey criminal law?
"Health care claims fraud" means making, or causing to be made, a false, fictitious, fraudulent, or misleading statement of material fact in, or omitting a material fact from, or causing a material fact to be omitted from, any record, bill, claim or other document, in writing, electronically or in any other form, that a person attempts to submit, submits, causes to be submitted, or attempts to cause to be submitted for payment or reimbursement for health care services. "Practitioner" means a person licensed in this State to practice medicine and surgery, chiropractic, podiatric medicine, dent (N.J.S.A. 2C:21-4.2)
Statutes defining or using this term
Charges using this term
Related terms in the same statutes
This reference is informational and is not legal advice.