For Providers

Updates and Announcements

Prior auth fax announcement

Posted By Horizon NJ Health on April 08, 2014
Tags: Prior auth fax announcement, Fax

Horizon NJ Health’s technical issue with faxing to our Utilization Management department has been resolved. If you have been using the temporary fax numbers, emails and phones, please discontinue and revert to the original process which includes the standard department fax numbers and phone numbers.

Oral Health Summit- February 26

Posted By Horizon NJ Health on February 04, 2014
Tags: Oral Health Summit, Rutgers School of Dental Medicine

The New Jersey Oral Health Coalition is sponsoring a continuing education course at Rutgers School of Dental Medicine in Newark, NJ on Wednesday, February 26, 2014.

Precertification Reference List Update

Posted By Horizon NJ Health on February 04, 2014
Tags: Precertification Reference List, Horizon NJ Health Utilization Management Department

Please be advised that Horizon NJ Health has recently clarified the language and updated the list of services requiring prior authorization for Horizon NJ Health members.

Claim Appeal Decisions Can Now Be Faxed to Providers

Posted By Horizon NJ Health on February 04, 2014
Tags: Claim Appeal, fax

Horizon NJ Health can now fax claim appeal decision letters to providers if a fax number is available. This will make it easier for providers to receive timely notice of claim appeal decisions.

Prior Authorization Backlog

Posted By Horizon NJ Health on February 04, 2014
Tags: Prior Authorization, Horizon NJ Health

Please be advised that Horizon NJ Health is currently experiencing a temporary backlog in providing authorizations. We are aware of the problem and have a team working diligently to correct this issue.

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