We want to make it easier for you to understand our procedures and the resources available to you. The topics below give detailed information about how to get the most out of our products and services. These materials will benefit participating physicians, practice administrators, office managers, office personnel and other health care professionals.

Billing/Claims

• ClaimsXTen FAQs
• ClaimsXTen Edit Codes and Messages
• SimpleClaim Training Resources
• How to Correctly Submit Claims with J or Q Codes
• J and Q Code Billing Provider Update

Programs

• Behavioral Health Program
• Horizon NJ TotalCare (HMO D-SNP) Model of Care Training

Quality Improvement

• Indications for OB Ultrasound Overview Presentation
• Fact Sheet for Lead Screening in Children

Utilization Management

• UM Tool Denial Appeal Tutorial
• UM Tool Tutorial

R&R Provider HEDIS Guidelines and Interactive HEDIS Guidelines

• HEDIS Guidelines
• Interactive HEDIS Guidelines