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width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="17">&nbsp;</td> <td width="9"><img src="common/arrow_up.jpg" width="7" height="10"></td> <td width="7">&nbsp;</td> <td><div align="left"><a href="nj_auto_plans.htm" class="main">NJ AUTO PLANS </a></div></td> </tr> <tr> <td width="17">&nbsp;</td> <td width="9">&nbsp;</td> <td width="7">&nbsp;</td> <td><div align="left"></div></td> </tr> </table> <a href="chn_ppo.htm"><img src="common/chnppo_logo.gif" width="162" height="80" border="0"></a></td> <td width="638" valign="top"><table width="638" border="0" cellspacing="0" cellpadding="0"> <tr> <td valign="top"><table width="638" height="228" border="0" cellpadding="0" cellspacing="0"> <tr> <td width="608" valign="top"><img src="nj_auto/nj_auto.jpg" width="638" height="228"></td> </tr> </table></td> </tr> </table> <table width="638" height="150" border="0" cellpadding="0" cellspacing="0"> <tr valign="top"> <td width="608"> <table width="500" border="0" cellspacing="0" cellpadding="2"> <tr> <td valign="top"> <p><img src="/logos/pghdr_PSIResources.gif" alt="Personal Services Insurance" width="500" height="30"></p> <table width="500" border="1" cellpadding="2" cellspacing="0" bgcolor="#FFFFFF"> <tr> <td><div align="center"> <img src="PSILogo_Large.gif"></div></td> </tr> </table> <br> <table width="500" border="1" cellpadding="2" cellspacing="0" bgcolor="#FFFFFF"> <tr> <td bgcolor="#DDDDDD" style="font-weight: bold;">Policies after 09/01/2011</td> </tr> <tr> <td> <P class=MsoNormal> <FONT face="Times New Roman" size=3> <SPAN style="FONT-SIZE: 12pt"> <A href="http://www.csg-inc.net/PSIDocs/08-0957_Personal_Service_App.pdf" target="_blank" class="FieldDataTiny">New Jersey Department of Banking and Insurance Approval Letter</A> </SPAN> </FONT> </P> <P class=MsoNormal> <FONT face="Times New Roman" size=3> <SPAN style="FONT-SIZE: 12pt"> <A href="http://www.csg-inc.net/PSIDocs/DOBI_DPR_Approval.pdf" target="_blank" class="FieldDataTiny">New Jersey Department of Banking and Insurance DPR Approval</A> </SPAN> </FONT> </P> <P class=MsoNormal> <FONT face="Times New Roman" size=3> <SPAN style="FONT-SIZE: 12pt"> <A href="http://www.csg-inc.net/psidocs/Conditional%20Assignment%20of%20Benefits%20Form.pdf" target="_blank" class="FieldDataTiny">Assignment of Benefits</A> </SPAN> </FONT> </P> <P class=MsoNormal> <FONT face="Times New Roman" size=3> <SPAN style="FONT-SIZE: 12pt"> <A href="http://www.csg-inc.net/psidocs/QA%20Brochure%20-%202011.pdf" target="_blank" class="FieldDataTiny">Question & Answer Document</A> </SPAN> </FONT> </P> <P class=MsoNormal> <FONT face="Times New Roman" size=3> <SPAN style="FONT-SIZE: 12pt"> <A href="http://www.csg-inc.net/PSIDocs/Dear%20Provider%20Letter.pdf" target="_blank" class="FieldDataTiny">Provider Letter</A> </SPAN> </FONT> </P> <P class=MsoNormal> <FONT face="Times New Roman" size=3> <SPAN style="FONT-SIZE: 12pt"> <A href="http://www.csg-inc.net/PSIDocs/Internal%20Dispute%20Resolution%20Request%20Form.pdf" target="_blank" class="FieldDataTiny">Internal Dispute Resolution Request Form</A> </SPAN> </FONT> </P> </td> </tr> </table> <br> <table width="500" border="1" cellpadding="2" cellspacing="0" bgcolor="#FFFFFF"> <tr> <td bgcolor="#DDDDDD" style="font-weight: bold;">Policies prior to 09/01/2011</td> </tr> <tr> <td> <P class=MsoNormal> <FONT face="Times New Roman" size=3> <SPAN style="FONT-SIZE: 12pt"> <A href="http://www.csg-inc.net/PSIDocs/08-0957_Personal_Service_App.pdf" target="_blank" class="FieldDataTiny">New Jersey Department of Banking and Insurance Approval Letter</A> </SPAN> </FONT> </P> <P class=MsoNormal> <FONT face="Times New Roman" size=3> <SPAN style="FONT-SIZE: 12pt"> <A href="http://www.csg-inc.net/PSIDocs/QA_BROCHURE.pdf" target="_blank" class="FieldDataTiny">Question & Answer Document</A> </SPAN> </FONT> </P> <P class=MsoNormal> <FONT face="Times New Roman" size=3> <SPAN style="FONT-SIZE: 12pt"> <A href="http://www.csg-inc.net/PSIDocs/Med_Provider_Letter_2.pdf" target="_blank" class="FieldDataTiny">Provider Letter</A> </SPAN> </FONT> </P> </td> </tr> </table> <br> <div align="center"> <table width="500" cellpadding="0" cellspacing="0" bgcolor="#FFFFFF" style="border: 1px solid #CCCCCC; padding: 5px;"> <tr> <td style="border-bottom: 1px solid #CCCCCC;"><p class="ErrorTextBig">Voluntary Provider Networks</p></td> </tr> <tr> <td align="center" style="padding: 3px; border-bottom: 1px solid #CCCCCC;"> <table width="490" cellpadding="0" cellspacing="0" border="0"> <tr> <td width="145"><p style="font-weight: bold; font-size: 14px;">MRI/CAT Scans</p></td> <td width="340"> <table width="340" cellpadding="0" cellspacing="0" border="0"> <tr> <td width="170" align="center"><a href="http://www.raytel.com/objects/RINDir.pdf" target="_blank"> <img src="/logos/raytellogo.gif" width="100" height="64" border="0"></a> </td> <td width="170" valign="middle" class="FieldDataSmall"><strong>Raytel Imaging Network </strong></td> </tr> <tr> <td width="170" align="center"><a href="/pdfs/AIGPPO.pdf" target="_blank"> <img src="/logos/AtlanticImaginglogo.gif" width="100" height="64" border="0"></a> </td> <td width="170" valign="middle" class="FieldDataSmall"><strong>Atlantic Imaging Group</strong></td> </tr> </table> </td> </tr> </table> </td> </tr> <tr> <td align="center" style="padding: 3px; border-bottom: 1px solid #CCCCCC;"> <table> <tr> <td width="180"><p style="font-weight: bold; font-size: 14px;">Ambulatory Surgical Center Services</p></td> <td width="305"> <table width="305" cellpadding="0" cellspacing="0" border="0"> <tr> <td width="170" align="center"><a href="/pdfs/CHNASC.pdf" target="_blank"> <img src="/common/chnppo_logo.gif" width="162" height="80" border="0"></a> </td> <td width="135" valign="middle" class="FieldDataSmall" align="left"><strong>CHN PPO</strong></td> </tr> </table> </td> </tr> </table> </td> </tr> <tr> <td style="padding: 3px; border-bottom: 1px solid #CCCCCC;"> <table> <tr> <td width="180"><p style="font-weight: bold; font-size: 14px;">Orthotic and Prosthetic Supplies</p></td> <td width="305"> <table width="305" cellpadding="0" cellspacing="0" border="0"> <tr> <td width="170" align="center"><a href="Pro-Fit_Network.pdf" target="_blank"><img src="/logos/ProFitLogo.gif" width="100" height="64" border="0"></a></td> </td> <td width="135" valign="middle" class="FieldDataSmall"><strong>ProFit</strong></td> </tr> </table> </td> </tr> </table> </td> </tr> <tr> <td align="center" style="padding: 3px;"> <table> <tr> <td width="180"><p style="font-weight: bold; font-size: 14px;">Durable Medical Equipment</p></td> <td width="305"> <table width="305" cellpadding="0" cellspacing="0" border="0"> <tr> <td width="170" align="center"><a href="http://www.chn.com/locator/default.asp" target="_blank"> <img src="/common/chnppo_logo.gif" width="162" height="80" border="0"></a> </td> <td width="135" valign="middle" class="FieldDataSmall"><strong>CHN PPO</strong></td> </tr> </table> </td> </tr> 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