For Providers

Updates and Announcements

New Process for Chemotherapy Authorizations

Posted By Admin on February 18, 2015
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New Reimbursement Policy for Services Appended with Modifier 52

Posted By Admin on February 17, 2015
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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.

Authorization Changes for Retinal Providers

Posted By Admin on February 02, 2015
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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.

New Requirements for Trisomy Testing in High-Risk Pregnancies

Posted By Admin on January 22, 2015
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LabCorp®, Horizon NJ Health’s laboratory services vendor, is now offering its own non-invasive prenatal screening test named informaSeq.

Horizon NJ Health Lauches CareAffiliate

Posted By Admin on November 25, 2014
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On October 27, 2014 Horizon NJ Health launched CareAffiliate – a web-based provider portal accessed through NaviNet.

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