Claims	Claims and other billing forms should be submitted to: Horizon NJ Health Claims Processing Department P.O. Box 24078 Newark, NJ 07101-0406
Utilization Management Appeals	Utilization Management decisions appeals should be submitted to: Horizon Medical Appeals PO Box 10194 Newark, NJ 07101 Or Fax to 1-609-583-3028 You can also request an appeal by calling the UM Appeals Department at 1-800-682-9094, ext. 9606, prompt 2.
Administrative Claim Appeals	Administrative Claim Appeals should be submitted to: Horizon NJ Health Administrative Claim Appeals PO Box 63000 Newark, NJ 07101 Or Fax to 1-973-522-4678

For questions regarding billing or appeals, please contact the Physician and Health Care Hotline at 1-800-682-9091 and/or your Professional Relations Representative.

It is very important that Horizon NJ Health maintains accurate information in our provider database. This information is essential for providing access to services for our members.

It is each practice’s responsibility to notify Horizon NJ Health prior to any change in the status of the practice or provider. This includes the sale or purchase of a practice, the addition of a provider or the retirement of a provider. In the case of a provider death, the practice should notify Horizon NJ Health immediately.

You can email demographic information updates to EnterprisePDM@HorizonBlue.com or mail to:

Horizon BCBSNJ Provider Files
3 Penn Plaza East, PP-14C
Newark, NJ 07105-2200

If you are terminating from the network, you are required to send a notice via certified mail, as per your agreement. Please send notification via certified mail with return receipt to:

If you have any questions about this requirement, please contact your Provider Relations Representative.

Click here for complete details on Demographic Updates.