Provider Resource Information

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Health Management Program

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Provider Recruitment


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Latest News
Vaccines for Children (VFC) Program Changes

Effective July 1, 2014, the Vaccines for Children (VFC) program no longer provides vaccines for members enrolled in NJ FamilyCare Plans B, C, and D. VFC will continue to provide vaccines for NJ FamilyCare Plan A members only. For members in Plans...

NaviNet Pended Claims Web Notice

We have been receiving inquiries about claims in NaviNet that are shown to be in pended status. We want to remind you that claims in pended status have not yet been processed. If a claim is in pended status it is still being reviewed by Horizon...

List of Pre-Authorization Codes Fulfilled by NIA

National Imaging Associates (NIA) provides pre-authorizations on behalf of Horizon NJ Health for a select group of codes. In an effort to differentiate which codes require pre-authorization by NIA, we have compiled a complete list of codes...