Recent Updates and Announcements

< View All Updates And Announcements

New UM Appeal Process for Administrative Denials
Posted By Admin on January 29, 2018
Text Size

Effective March 1, 2018, Utilization Management (UM) administrative denials will be reviewed based upon the UM administrative policies. If evidence is presented that demonstrates that Horizon NJ Health’s administrative policies were followed, the services will be reviewed in accordance with the Utilization Management Appeal Process for Administrative Denials.