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Claim Submission Instructions For Non-Traditional MLTSS Providers

The CMS 1500 Claim Form Horizon NJ Health requires that all non-traditional providers use the standard CMS 1500 claim form to report services which are reimbursable. The CMS 1500 form is the standard claim form used by a non-institutional...

Horizon NJ Health Follow-up: Details Regarding In-Home OSA Sleep Studies

We recently issued a provider letter noting that Horizon NJ Health has streamlined the process for ordering in-home studies for obstructive sleep apnea (OSA). We now require no referrals and no pre-authorizations for in-home testing. Since then,...

Update for Ordering Sleep Apnea Studies

The superior convenience and comfort of in-home studies for obstructive sleep apnea (OSA) increases patients’ willingness to comply with your orders for this testing. To facilitate the process for both our providers and our members who are...