New Utilization Management Authorization Request Process: Private Duty Nursing (PDN) Services

You can now submit a PDN authorization request quickly and efficiently using the online Utilization Management Request Tool, available on NaviNet.net. Beginning , Horizon NJ Health will no longer accept a PDN authorization fax request.

You can access the online Utilization Management Request Tool by:

  1. Signing into navinet.net
  2. Select Horizon NJ Health from the My Health Plans menu
  3. Click on the Lookup icon to open the search dialog box and type in the member ID number
  4. Select member ID type: HNJH ID for Horizon NJ Health
  5. For new authorization requests:
    1. Select New, located on the main menu
    2. Under General Information, click on the Request Type Lookup icon (no need to enter information in this box)
    3. Select the appropriate service type
    4. Complete the request

For more information on how to use the online Utilization Management Request Tool, visit horizonNJhealth.com/UMRTtutorial.

For technical issues or help with NaviNet, call NaviNet Support at 1-888-482-8057, weekdays, from 8 a.m. to 11 p.m., Eastern Time (ET), and Saturdays, from 8 a.m. to 3 p.m., ET.

Published on: December 21, 2020, 20:56 PM ET
Last updated on: December 22, 2020, 07:09 AM ET