In order to align with Centers for Medicare & Medicaid Services standards, we have implemented a new reimbursement policy for services appended with Modifier 52 (Reduced Services). Effective January 1, 2015, Horizon NJ Health will reimburse services billed in conjunction with Modifier 52 at 50 percent of the applicable fee schedule amount.
In an effort to help streamline our claims process and ensure your prompt payment, Horizon NJ Health is removing the authorization requirement for several claims codes.
LabCorp®, Horizon NJ Health’s laboratory services vendor, is now offering its own non-invasive prenatal screening test named informaSeq.
On October 27, 2014 Horizon NJ Health launched CareAffiliate – a web-based provider portal accessed through NaviNet.