If you need to submit claims for administering the COVID-19 vaccine and do not typically submit claims to Horizon BCBSNJ or Horizon NJ Health, we require additional information from you so we can reimburse you.

To help ensure that we are able to quickly process and reimburse claims submitted for the administration of COVID-19 vaccines, please complete this form and provide the requested information.

If you typically submit claims to Horizon BCBSNJ or Horizon NJ Health, you do not need to take action.

We will continue to align with the Centers for Medicare & Medicaid Services (CMS) guidelines for the billing and reimbursement for the administration of COVID-19 vaccines.