Provider Resource Information

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Health Management Program

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Latest News
Reminder - Recent Changes to Call Center, Claims and Provider Dispute Process

Horizon NJ Health would like to remind providers of some recent process changes. On April 1, 2016, we switched our Electronic Data Interchange (EDI) vendor to TriZetto Trading Partners Solutions (TTPS). If you wish to register for Direct Data...

Reminder: Claims Address Has Changed

As a reminder, our claims address has changed. All paper claims must be submitted to our new address.

Updated FAQ for PT/OT Authorizations

Q1. What changes are taking effect regarding prior authorizations for Outpatient Physical Therapy and Occupational Therapy? A1. Effective Feb. 1, 2016, Authorizations will be required for Physical therapy and Occupational therapy rendered in...