Contact Us
|
In The News
|
About Horizon NJ Health
|
Community Health Links
|
Employment
|
Site Map
Horizon NJ Health
:
Site Map
Contact Us
Members
Physicians
In The News
About Horizon NJ Health
Community Health Links
Employment
Site Map
Legal Notice
Privacy Policy
Commonly Asked Questions About Generic Drugs and Brand-Name Drugs
RadMD.com
Horizon NJ Health
Site Map
Contact Us
Directions
Important Phone Numbers
Members
Physician Directories
Our Programs
Mom's GEMS
CHAMPS
Asthma 'Breathe Easy' Program
Diabetes Management Program
Take Five if You have Diabetes!
Diabetes Guidelines
Congestive Heart Failure
Social Case Management
Signing Up and Getting Started in Horizon NJ Health
Blue Notes
2007 Issues
2006 Issues
2005 Issues
2004 Issues
2003 Issues
2002 Issues
2001 Issues
Commonly Asked Questions
When to Use the Emergency Room
NJ FamilyCare
What Is NJ FamilyCare?
Who Is Eligible?
How Do I Apply?
NJ FamilyCare Online Application
How Much Does It Cost?
What Is Covered?
Complete Coverage Backed By A Name You Trust
A Personal Horizon NJ Health Doctor and Dentist
Renew Your NJ FamilyCare Eligibility!
NJ FamilyCare Expands Coverage to Certain Parents
NJ FamilyCare Advantage
Who Is Eligible?
How Do I Apply?
How Much Does It Cost?
EPSDT
Member Services
Contact Us
Directions
Important Phone Numbers
News Archives
Physicians
Physician Login
Providers Physician Directory
Physician and Health Care Center
Check Claim Status
Confirm Member Eligibility
Physician Newsletters
Formulary and Alternatives
Smoking Cessation
Claims Filing Date of Service
Horizon NJ Health Will Extend Coverage to the Intranasal Flu Vaccine
Claims Addresses
Forms and Guides
Physicians and Health Care Professionals
Reference Materials
Physician and Health Care Professional Manual
Clinical and Preventive Guidelines and Policies
Medical Policies
Claims Processing and Payment
Requirements for Filing Claims
General Requirements
Procedures for Claim Submission
Claim Filing Deadlines
Claim Forms (Paper)
CMS 1500 (HCFA 1500) Claim Form (Paper Submissions)
The UB-92 (CMS 1450) Claim Form (Paper)
Procedures for Electronic Submission - Electronic Data Interchange
Hardware/Software Requirements
Specific Data Record Requirements
Electronic Claim Flow Description
Invalid Electronic Claim Record
Electronic Billing Inquiries
Common Coding Requirements
Diagnosis Codes
Procedure Codes
Modifiers
Units
Other Coding
Common Billing Modifiers
Requirements
Common Causes of Claim Processing Delays, Rejections or Denials
Authorization or Referral Number Invalid or Missing
Billed Charges Missing or Incomplete
Claim Information Does Not Match Authorization
Coordination of Benefits (COB) Information Missing or Incomplete
Diagnosis Code Missing 4th or 5th Digit
Diagnosis, Procedure or Modifier Codes Invalid or Missing
DRG Codes Missing or Invalid
Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Information Missing or Incomplete
Eligibility/Enrollment
Explanation of Benefits (EOB) Missing or Incomplete
Illegible Claim Information
Incomplete Forms
Newborn Claim Information Missing or Invalid
Payer or Other Insurer Information Missing or Incomplete
Place of Service Code Missing or Invalid
Procedure/Service Code Does Not Match Authorization
Physician Name Missing or Invalid
Hospital, Physician or Health Care Professional Identification Number Missing or Invalid
Revenue Codes Missing or Invalid
Spanning Dates of Service Do Not Match the Listed Days/Units
Signature Missing
Employer Identification Number (EIN) Missing or Invalid
Third Party Liability (TPL) Information Missing or Incomplete
Type of Service Code Missing or Invalid
Unbundled Services Invalid
Attachments Missing From Original Claim
Coordination of Benefits
Medicare
Other Third Party Medical Insurance
Reimbursement
Services Which Do Not Require A Primary Insurer EOB
Denials from Primary Insurers
Processing Rules
Encounter Data Submissions
Remittance Advice Documentation
National Provider Identifier (NPI)
What NPI Is and How It Works
NPI Glossary
Downloadable Forms and Articles
FAQs About NPI
NPI Timeline
Contact Us
Directions
Important Phone Numbers
News Archives
In The News
Press Releases
2008
March 11, 2008
February 1, 2008
2007
August 5, 2007
June 12, 2007
May 17, 2007
May 9, 2007
April 17, 2007
March 6, 2007
January 18, 2007
2006
August 07, 2006
June 06, 2006
May 31, 2006
April 18, 2006
January 24, 2006
January 23, 2006
2005
October 18, 2005
September 30, 2005
June 10, 2005
June 10, 2005
May 16, 2005
February 11, 2005
February 10, 2005
2004
May 25, 2004
2003
June 10, 2003
April 14, 2003
March 18, 2003
February 24, 2003
2002
July 16, 2002
April 22, 2002
March 28, 2002
March 6, 2002
March 5, 2002
February 28, 2002
February 21, 2002
January 15, 2002
Karen L. Clark
Wal-Mart Joins the Pharmacy Network
Horizon/Mercy Is Now Horizon NJ Health!
Skin Cancer Awareness
Don't Let the Flu Catch You
Colorectal Cancer Screening
Selecting and Changing Your Primary Care Physician (PCP) and Dentist
A Reminder for Men
Physician Spotlight
Dr. Sharon Buttress and CAMcare
Jersey Shore University Medical Center
Marc Roberts, M.D.
Jersey City Family Health Center
Children's Hospital of New Jersey (CHNJ)
Social Case Management at the Bedside Outreach Program
Curbing Adult Obesity
Join a Horizon NJ Health Committee
Making the Connection: The Health of Black Women
Care After a Heart Attack
Careful Antibiotic Use
Prevent Tooth Decay from Baby Bottles and Sippy Cups
About Horizon NJ Health
Company Overview
Mission, Vision, and Cornerstones
Company History
Contact Us
Directions
Important Phone Numbers
Community Health Links
Employment
Site Map
Legal Notice
Privacy Policy