Precertification/Prior Authorization Requests Submission Process to Change:

Effective September 1, 2019 , Horizon NJ Health will no longer accept precertification/prior authorization of initial intake requests for Prior Authorization of services by fax. Requests for precertification/prior authorization will not be accepted through the following fax numbers on and after September 1, 2019 :

  • 1-609-583-3013
  • 1-609-583-3014
  • 1-609-583-3015
  • 1-609-583-3023
  • 1-609-583-3026
  • 1-973-274-2371
  • 1-609-583-3042
  • 1-609-583-3047

Beginning September 1, 2019 , requests for Precertification/Prior authorization must be submitted through CareAffiliate or by calling 1-800-682-9094 , Monday through Friday, between 8 a.m. and 5 p.m., Eastern Time.

Outpatient authorization: x81023
Inpatient authorization: x81024
Home services authorization: x81025
Durable Medical Equipment: x81017
PT/OT/ST and Chiro authorization: x81623

Submitting precertification/prior authorization requests online
Please begin submitting requests online now to help ensure preparation for the September 1, 2019 deadline.

Registered NaviNet® may submit authorization requests online. Sign in to NaviNet.net , and from the My Health Plans menu:

  • Select Horizon NJ Health .
  • Mouse over Referrals and Authorization .
  • Click CareAffiliate.

To access information about using our CareAffiliate , sign in to NaviNet.net , and from the My Health Plans menu:

  • Select Horizon BCBSNJ.
  • Mouse over References and Resources and click Provider Reference Materials.
  • Mouse over Policies & Procedures and click Utilization Management.
  • Click CareAffiliate.

Not registered for NaviNet?
Access to NaviNet is free. To register, visit NaviNet.net and click Sign Up or call 1-888-482-8057 .

NaviNet® is a registered trademark of NaviNet, Inc.

Published on: May 27, 2019, 08:02 AM ET
Last updated on: May 29, 2019, 01:43 AM ET