For Providers

Updates and Announcements

Quality Profile Report Available on

Posted By Admin on August 14, 2014
Tags: NaviNet

As part of our ongoing commitment to Continuous Quality Improvement at Horizon NJ Health, we want to make you aware of some changes we are making to the distribution method of the quarterly Physician Quality Profile reports.

Affordable Care Act (ACA) Payments

Posted By Admin on August 13, 2014

Many of providers have been receiving enhanced monthly payments as part of available incentives mandated by the Affordable Care Act (ACA). We would like to inform you that these ACA payments will not be issued in the August cycle.

Certain Services No Longer Require Prior Authorization in Ambulatory Surgical Centers

Posted By NJHealth on August 11, 2014
Tags: Ambulatory Surgical Centers

We are pleased to announce that, effective September 10, 2014, prior authorizations will no longer be required for certain services performed in Ambulatory Surgical Centers (ASCs).

Enhanced NaviNet Transactions

Posted By Admin on July 30, 2014
Tags: Enhanced NaviNet Transactions

There will now be an option in the Claim Status Inquiry (CSI) menu for "Select all Providers" in the drop down menu. This new option will allow the user to search for claims for all providers and groups associated with the office.

FAQs: Obstructive Sleep Apnea (OSA) Studies

Posted By Admin on July 24, 2014
Tags: MLTSS Providers

We recently issued a letter to all our network providers noting that Horizon NJ Health has streamlined the process for in-home OSA testing. Please keep these FAQs on hand for easy reference.

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