Provider Resource Information

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Health Management Program

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Provider Recruitment

 

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Latest News
Register now for an informational session with naviHealth, LLC

On December 30, 2016, Horizon Blue Cross Blue Shield of New Jersey announced an agreement with naviHealth, which will be effective on February 1, 2017. naviHealth is a national post-acute care management company which will help manage Nursing...

Taxonomy Code Notice

Effective April 1, 2017, Horizon NJ Health will require all practitioners to submit claims using their taxonomy codes, National Provider Identifiers (NPI) and tax ID numbers. This requirement will improve efficiency to ensure our systems can...

New Claim Editing Process

On January 1, 2017, Horizon NJ Health will be implementing a series of updates to our claim editing rules and processes using McKesson’s ClaimsXten, a clinically-based claims editing solution. This will help ensure that claims for members...