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Latest News
New Process for Chemotherapy Authorizations

Horizon NJ Health has instituted a new process for chemotherapy authorizations that will greatly streamline the process for providers. In the past, providers were required to submit procedure codes for authorization for every distinct procedure...

New Reimbursement Policy for Services Appended with Modifier 52

In order to align with Centers for Medicare & Medicaid Services standards, we have implemented a new reimbursement policy for services appended with Modifier 52 (Reduced Services). Effective January 1, 2015, Horizon NJ Health will reimburse...

Authorization Changes for Retinal Providers

In an effort to help streamline our claims process and ensure your prompt payment, Horizon NJ Health is removing the authorization requirement for several claims codes. Authorizations will no longer be required for CPT codes J9035, 67210 and 67145...