Provider Resource Information

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Health Management Program

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Provider Recruitment

 

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Latest News
NJ FamilyCare Appeal Process Change

Beginning July 1, 2017, the New Jersey Managed Care Organization appeal process for denials of health care services will be different because of changes to the federal rules that the managed care health plans must follow. Please review the FAQ...

New Amendment to Medicaid Contract for Hospice Services

This announcement is pertinent to providers who provide hospice services to Horizon NJ Health members. The New Jersey State Division of Medical Assistance and Health Services (DMAHS) has amended its Medicaid contract with Horizon NJ Health to...

Reminder: Code required for “patient reason for visit” field on UB-04 claim forms

Horizon NJ Health has noticed recently that some providers have not been populating the “patient reason for visit” field on their UB-04 claim forms. A code is required for outpatient claims and is located in loop 2300 segment HI...