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        • BlueNotes Issue 1 2021BlueNotes Issue 1 2021
          • BlueNotes Issue 1 2021
          • Your annual wellness exam: a key part of staying healthyYour annual wellness exam: a key part of staying healthy
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          • Our commitment to qualityOur commitment to quality
          • Horizon Neighbors in Health: Education WorksHorizon Neighbors in Health: Education Works
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          • Coming soon: the Horizon NJ Health AppComing soon: the Horizon NJ Health App
          • 5 ways to prevent falls5 ways to prevent falls
          • Follow-up care after an ER visitFollow-up care after an ER visit
          • Are you at risk for aspiration pneumonia?Are you at risk for aspiration pneumonia?
          • New name, same service: LogistiCare is now ModivCareNew name, same service: LogistiCare is now ModivCare
          • Having a baby? You have a new benefit: Doula servicesHaving a baby? You have a new benefit: Doula services
          • We can help you quit smoking or vapingWe can help you quit smoking or vaping
          • You may be eligible for Horizon NJ TotalCare (HMO D-SNP)You may be eligible for Horizon NJ TotalCare (HMO D-SNP)
          • When is Urgent Care the right choice?When is Urgent Care the right choice?
          • COVID-19 vaccine updateCOVID-19 vaccine update
          • Changes to covered medicinesChanges to covered medicines
          • New genericsNew generics
          • First aid for seizuresFirst aid for seizures
      • MLTSS Member NewslettersMLTSS Member Newsletters
        • MLTSS Member Newsletters
        • CareNotes Issue 1 2021CareNotes Issue 1 2021
          • CareNotes Issue 1 2021
          • 5 tips to get the most from your plan5 tips to get the most from your plan
          • First aid for seizuresFirst aid for seizures
          • Your annual wellness exam: a key part of staying healthyYour annual wellness exam: a key part of staying healthy
          • Our commitment to qualityOur commitment to quality
          • Do you have an advance directive?Do you have an advance directive?
          • Coming soon: the Horizon NJ Health AppComing soon: the Horizon NJ Health App
          • Important information for members with behavioral health conditionsImportant information for members with behavioral health conditions
          • Our Member Advocates are here for youOur Member Advocates are here for you
          • 5 ways to prevent falls5 ways to prevent falls
          • You may be eligible for Horizon NJ TotalCare (HMO D-SNP)You may be eligible for Horizon NJ TotalCare (HMO D-SNP)
          • When is Urgent Care the right choice?When is Urgent Care the right choice?
          • Follow-up care after an ER visitFollow-up care after an ER visit
          • Are you at risk for aspiration pneumonia?Are you at risk for aspiration pneumonia?
          • New name, same service: LogistiCare is now ModivCareNew name, same service: LogistiCare is now ModivCare
          • 5 ways to keep your eyes healthy5 ways to keep your eyes healthy
          • Member rights and responsibilitiesMember rights and responsibilities
          • We can help you quit smoking or vapingWe can help you quit smoking or vaping
          • COVID-19 vaccine updateCOVID-19 vaccine update
          • Changes to covered medicinesChanges to covered medicines
          • New genericsNew generics
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      • How Much Do You Know about Lead Poisoning?How Much Do You Know about Lead Poisoning?
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      • Mom's GEMS Prenatal ProgramMom's GEMS Prenatal Program
        • Mom's GEMS Prenatal Program
        • Enroll in Mom’s GEMSEnroll in Mom’s GEMS
      • A Health and Wellness Program for ChildrenA Health and Wellness Program for Children
        • A Health and Wellness Program for Children
        • What to Expect during your Child’s Wellness Checkups Quick Reference GuideWhat to Expect during your Child’s Wellness Checkups Quick Reference Guide
        • What is Child Development?What is Child Development?
        • Guidelines for Key Developmental MilestonesGuidelines for Key Developmental Milestones
        • Screening Tests: Frequently Asked QuestionsScreening Tests: Frequently Asked Questions
      • Staying Healthy As You AgeStaying Healthy As You Age
        • Staying Healthy As You Age
        • Depression in Older Adults and the ElderlyDepression in Older Adults and the Elderly
      • Quit Smoking SupportQuit Smoking Support
      • Lifeline Assistance Program: Free Cell PhoneLifeline Assistance Program: Free Cell Phone
      • Take 5 If You Have DiabetesTake 5 If You Have Diabetes
      • Care ManagementCare Management
      • Diabetes and Kidney DiseaseDiabetes and Kidney Disease
      • Horizon Neighbors in HealthHorizon Neighbors in Health
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      • Self Direction – Personal Preference Program (PPP)Self Direction – Personal Preference Program (PPP)
    • Horizon NJ Health VideosHorizon NJ Health Videos
    • How do I Renew?How do I Renew?
    • Updates and AnnouncementsUpdates and Announcements
      • Updates and Announcements
      • Recall of Atovaquone Oral Suspension 750mg/5mLRecall of Atovaquone Oral Suspension 750mg/5mL
      • Recall of TIROSINT SOL (levothyroxine sodium) Oral SolutionRecall of TIROSINT SOL (levothyroxine sodium) Oral Solution
      • How a Community Doula Can Help During PregnancyHow a Community Doula Can Help During Pregnancy
      • Recall of Sodium Bicarbonate Injection, USP, 8.4%, 50 mEq/50 mL VialRecall of Sodium Bicarbonate Injection, USP, 8.4%, 50 mEq/50 mL Vial
      • Save on Internet Services With the Affordable Connectivity ProgramSave on Internet Services With the Affordable Connectivity Program
      • We've Got Your Monkeypox Concerns CoveredWe've Got Your Monkeypox Concerns Covered
      • Autism Services AnnouncementAutism Services Announcement
      • Recall of Milk of Magnesia 2400 mg/30 mL Oral SuspensionRecall of Milk of Magnesia 2400 mg/30 mL Oral Suspension
      • Recall of Humalog KwikPen U-100Recall of Humalog KwikPen U-100
      • Recall of Magnesium Hydroxide 1200 mg/Aluminum Hydroxide 1200 mg/Simethicone 120 mg per 30 mLRecall of Magnesium Hydroxide 1200 mg/Aluminum Hydroxide 1200 mg/Simethicone 120 mg per 30 mL
      • Recall of Symjepi (epinephrine) Injection 0.15 mg (0.15 mg/0.3 mL) and 0.3 mg (0.3 mg/0.3 mL) Pre-Filled Single-Dose SyringesRecall of Symjepi (epinephrine) Injection 0.15 mg (0.15 mg/0.3 mL) and 0.3 mg (0.3 mg/0.3 mL) Pre-Filled Single-Dose Syringes
      • Need Help With Your Utility Bills?Need Help With Your Utility Bills?
      • Recall of Senna Syrup 8.8mg/5mLRecall of Senna Syrup 8.8mg/5mL
      • At-Home COVID-19 TestingAt-Home COVID-19 Testing
      • Recall of Enoxaparin Sodium Injection, 40mg/0.4mLRecall of Enoxaparin Sodium Injection, 40mg/0.4mL
      • Recall of Lidocaine HCl Topical Solution 4%Recall of Lidocaine HCl Topical Solution 4%
      • Recall of Glucagon Emergency Kit for Low Blood SugarRecall of Glucagon Emergency Kit for Low Blood Sugar
      • Recall of Firvanq Oral Solution 50mg/mL KitRecall of Firvanq Oral Solution 50mg/mL Kit
      • Recall of Chantix TabletsRecall of Chantix Tablets
      • Recall of Lidocaine HCl Topical Solution 4%Recall of Lidocaine HCl Topical Solution 4%
      • Recall of Atovaquone Oral Suspension 750mg/5mLRecall of Atovaquone Oral Suspension 750mg/5mL
      • New Behavioral Health Benefit: Care Management ServicesNew Behavioral Health Benefit: Care Management Services
      • Interoperability SupportInteroperability Support
      • New benefit for members: Doula servicesNew benefit for members: Doula services
      • LogistiCare is now ModivcareLogistiCare is now Modivcare
      • COVID-19 vaccines available in Essex CountyCOVID-19 vaccines available in Essex County
      • Preventive Health: Medicaid UpdatePreventive Health: Medicaid Update
      • Recall of NP Thyroid TabletsRecall of NP Thyroid Tablets
      • NJ Residents can get opioid-overdose antidote naloxone at no cost from September 24 to 26NJ Residents can get opioid-overdose antidote naloxone at no cost from September 24 to 26
      • Recall of DDAVP® Nasal Spray 10 mcg/0.1mL, Desmopressin Acetate Nasal Spray 10 mcg/0.1mL, STIMATE® Nasal Spray 1.5 mg/mLRecall of DDAVP® Nasal Spray 10 mcg/0.1mL, Desmopressin Acetate Nasal Spray 10 mcg/0.1mL, STIMATE® Nasal Spray 1.5 mg/mL
      • Recall of Daptomycin for Injection, 500 mg/vialRecall of Daptomycin for Injection, 500 mg/vial
      • DIR Services for children diagnosed with Autism Spectrum DisorderDIR Services for children diagnosed with Autism Spectrum Disorder
      • New benefit: Peer Recovery Support ServicesNew benefit: Peer Recovery Support Services
      • Taking care of your mental health during and after pregnancyTaking care of your mental health during and after pregnancy
      • What You Need to Know About COVID-19What You Need to Know About COVID-19
      • Changes to Management of the Horizon Behavioral Health ProgramChanges to Management of the Horizon Behavioral Health Program
      • Recall of Metformin Hydrochloride Extended Release Tablets, 500mg and 750mgRecall of Metformin Hydrochloride Extended Release Tablets, 500mg and 750mg
      • Recall of NP Thyroid TabletsRecall of NP Thyroid Tablets
      • Recall of Metformin Hydrochloride Extended Release Tablets, 500mgRecall of Metformin Hydrochloride Extended Release Tablets, 500mg
      • A message from the State of New Jersey Department of Human Services: How NJ FamilyCare is working to support New Jerseyans’ health care needs during the Coronavirus emergencyA message from the State of New Jersey Department of Human Services: How NJ FamilyCare is working to support New Jerseyans’ health care needs during the Coronavirus emergency
      • Coronavirus resourcesCoronavirus resources
      • Referrals no longer needed!Referrals no longer needed!
      • Services for children diagnosed with Autism Spectrum DisorderServices for children diagnosed with Autism Spectrum Disorder
      • 3 ways to get care3 ways to get care
      • Removal of Ranitidine from the marketRemoval of Ranitidine from the market
      • Teledentistry is now availableTeledentistry is now available
      • Attention: Manufacturer recall of Phenytoin SuspensionAttention: Manufacturer recall of Phenytoin Suspension
      • Language translator servicesLanguage translator services
      • Attention Members: Manufacturer recall of Lamotrigine 100 mg tabletsAttention Members: Manufacturer recall of Lamotrigine 100 mg tablets
      • Atención a los miembros: Retiro del fabricante de comprimidos, cápsulas y jarabes de ranitidineAtención a los miembros: Retiro del fabricante de comprimidos, cápsulas y jarabes de ranitidine
      • Attention Members: Manufacturer recall of Ranitidine Tablets, Capsules and SyrupAttention Members: Manufacturer recall of Ranitidine Tablets, Capsules and Syrup
      • ¿Busca maneras de retribuir en esta época de fiestas?¿Busca maneras de retribuir en esta época de fiestas?
      • Looking for ways to give back this holiday season?Looking for ways to give back this holiday season?
      • Atención miembros: Retiro del fabricante de comprimidos y cápsulas de ranitidinaAtención miembros: Retiro del fabricante de comprimidos y cápsulas de ranitidina
      • Attention Members: Manufacturer recall of Ranitidine Tablets & CapsulesAttention Members: Manufacturer recall of Ranitidine Tablets & Capsules
      • Important Information for SNAP Recipients about your February BenefitsImportant Information for SNAP Recipients about your February Benefits
      • A message from Human Services Commissioner Johnson: Fighting Lead with NutritionA message from Human Services Commissioner Johnson: Fighting Lead with Nutrition
      • Attention Members: Manufacturer recall of Natpara for InjectionAttention Members: Manufacturer recall of Natpara for Injection
      • Recall of Losartan Potassium and Losartan Potassium and Hydrochlorothiazide tabletsRecall of Losartan Potassium and Losartan Potassium and Hydrochlorothiazide tablets
      • Attention Members: Manufacturer recall of Fluorouracil InjectionAttention Members: Manufacturer recall of Fluorouracil Injection
      • Recall of Promacta 12.5mg for Oral SuspensionRecall of Promacta 12.5mg for Oral Suspension
      • Updates to the Internal Appeal processUpdates to the Internal Appeal process
      • Recall of 8.4% Sodium Bicarbonate InjectionRecall of 8.4% Sodium Bicarbonate Injection
      • Organ and tissue donation saves livesOrgan and tissue donation saves lives
      • Recall of Fentanyl Transdermal 12 mcg/h PatchesRecall of Fentanyl Transdermal 12 mcg/h Patches
      • Recall of Ceftriaxone for InjectionRecall of Ceftriaxone for Injection
      • Recall of Losartan Potassium Hydrochlorothiazide TabletsRecall of Losartan Potassium Hydrochlorothiazide Tablets
      • Recall of Losartan Potassium TabletsRecall of Losartan Potassium Tablets
      • Recall of Amlodipine Valsartan Tablets USP, Valsartan HCTZ Tablets USP and Valsartan Tablets USPRecall of Amlodipine Valsartan Tablets USP, Valsartan HCTZ Tablets USP and Valsartan Tablets USP
      • Recall of Valsartan, Amlodipine/Valsartan and Valsartan/Hydrochlorothiazide TabletsRecall of Valsartan, Amlodipine/Valsartan and Valsartan/Hydrochlorothiazide Tablets
      • Treatment for substance use disorders at Long-Term Residential facilitiesTreatment for substance use disorders at Long-Term Residential facilities
      • Retiro de jeringas precargadas de dosis única de Symjepi (epinefrina) inyectable de 0.15 mg (0.15 mg/0.3 ml) y 0.3 mg (0.3 mg/0.3 ml)Retiro de jeringas precargadas de dosis única de Symjepi (epinefrina) inyectable de 0.15 mg (0.15 mg/0.3 ml) y 0.3 mg (0.3 mg/0.3 ml)
    • NJ Health Privacy Forms-EnglishNJ Health Privacy Forms-English
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    • COVID-19 ResourcesCOVID-19 Resources
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      • How to Recognize Abuse?How to Recognize Abuse?
      • How Can I Report Abuse?How Can I Report Abuse?
    • Help for YouHelp for You
      • Help for You
      • Avoid Caregiver BurnoutAvoid Caregiver Burnout
      • Care ManagementCare Management
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      • Enjoying Time with a SeniorEnjoying Time with a Senior
      • Is It Just Stress-Or Is It Depression?Is It Just Stress-Or Is It Depression?
      • Easy Tips for Healthy EatingEasy Tips for Healthy Eating
      • Exercise: Keep It FunExercise: Keep It Fun
      • Communication Tips for CaregiversCommunication Tips for Caregivers
      • Take Time to Care for YourselfTake Time to Care for Yourself
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      • BlueNotes Issue 1 2021
        • Your annual wellness exam: a key part of staying healthy
        • 5 tips to get the most from your plan
        • Our commitment to quality
        • Horizon Neighbors in Health: Education Works
        • Member rights and responsibilities
        • Important information for members with behavioral health conditions
        • Coming soon: the Horizon NJ Health App
        • 5 ways to prevent falls
        • Follow-up care after an ER visit
        • Are you at risk for aspiration pneumonia?
        • New name, same service: LogistiCare is now ModivCare
        • Having a baby? You have a new benefit: Doula services
        • We can help you quit smoking or vaping
        • You may be eligible for Horizon NJ TotalCare (HMO D-SNP)
        • When is Urgent Care the right choice?
        • COVID-19 vaccine update
        • Changes to covered medicines
        • New generics
        • First aid for seizures
    • MLTSS Member Newsletters
      • CareNotes Issue 1 2021
        • 5 tips to get the most from your plan
        • First aid for seizures
        • Your annual wellness exam: a key part of staying healthy
        • Our commitment to quality
        • Do you have an advance directive?
        • Coming soon: the Horizon NJ Health App
        • Important information for members with behavioral health conditions
        • Our Member Advocates are here for you
        • 5 ways to prevent falls
        • You may be eligible for Horizon NJ TotalCare (HMO D-SNP)
        • When is Urgent Care the right choice?
        • Follow-up care after an ER visit
        • Are you at risk for aspiration pneumonia?
        • New name, same service: LogistiCare is now ModivCare
        • 5 ways to keep your eyes healthy
        • Member rights and responsibilities
        • We can help you quit smoking or vaping
        • COVID-19 vaccine update
        • Changes to covered medicines
        • New generics
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    • How Much Do You Know about Lead Poisoning?
  • Handbooks
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    • Horizon Healthy Journey
      • We will remind you about your health screenings
    • Mom's GEMS Prenatal Program
      • Enroll in Mom’s GEMS
    • A Health and Wellness Program for Children
      • What to Expect during your Child’s Wellness Checkups Quick Reference Guide
      • What is Child Development?
      • Guidelines for Key Developmental Milestones
      • Screening Tests: Frequently Asked Questions
    • Staying Healthy As You Age
      • Depression in Older Adults and the Elderly
    • Quit Smoking Support
    • Lifeline Assistance Program: Free Cell Phone
    • Take 5 If You Have Diabetes
    • Care Management
    • Diabetes and Kidney Disease
    • Horizon Neighbors in Health
    • Quality Improvement Program
    • Self Direction – Personal Preference Program (PPP)
  • Horizon NJ Health Videos
  • How do I Renew?
  • Updates and Announcements
    • Recall of Atovaquone Oral Suspension 750mg/5mL
    • Recall of TIROSINT SOL (levothyroxine sodium) Oral Solution
    • How a Community Doula Can Help During Pregnancy
    • Recall of Sodium Bicarbonate Injection, USP, 8.4%, 50 mEq/50 mL Vial
    • Save on Internet Services With the Affordable Connectivity Program
    • We've Got Your Monkeypox Concerns Covered
    • Autism Services Announcement
    • Recall of Milk of Magnesia 2400 mg/30 mL Oral Suspension
    • Recall of Humalog KwikPen U-100
    • Recall of Magnesium Hydroxide 1200 mg/Aluminum Hydroxide 1200 mg/Simethicone 120 mg per 30 mL
    • Recall of Symjepi (epinephrine) Injection 0.15 mg (0.15 mg/0.3 mL) and 0.3 mg (0.3 mg/0.3 mL) Pre-Filled Single-Dose Syringes
    • Need Help With Your Utility Bills?
    • Recall of Senna Syrup 8.8mg/5mL
    • At-Home COVID-19 Testing
    • Recall of Enoxaparin Sodium Injection, 40mg/0.4mL
    • Recall of Lidocaine HCl Topical Solution 4%
    • Recall of Glucagon Emergency Kit for Low Blood Sugar
    • Recall of Firvanq Oral Solution 50mg/mL Kit
    • Recall of Chantix Tablets
    • Recall of Lidocaine HCl Topical Solution 4%
    • Recall of Atovaquone Oral Suspension 750mg/5mL
    • New Behavioral Health Benefit: Care Management Services
    • Interoperability Support
    • New benefit for members: Doula services
    • LogistiCare is now Modivcare
    • COVID-19 vaccines available in Essex County
    • Preventive Health: Medicaid Update
    • Recall of NP Thyroid Tablets
    • NJ Residents can get opioid-overdose antidote naloxone at no cost from September 24 to 26
    • Recall of DDAVP® Nasal Spray 10 mcg/0.1mL, Desmopressin Acetate Nasal Spray 10 mcg/0.1mL, STIMATE® Nasal Spray 1.5 mg/mL
    • Recall of Daptomycin for Injection, 500 mg/vial
    • DIR Services for children diagnosed with Autism Spectrum Disorder
    • New benefit: Peer Recovery Support Services
    • Taking care of your mental health during and after pregnancy
    • What You Need to Know About COVID-19
    • Changes to Management of the Horizon Behavioral Health Program
    • Recall of Metformin Hydrochloride Extended Release Tablets, 500mg and 750mg
    • Recall of NP Thyroid Tablets
    • Recall of Metformin Hydrochloride Extended Release Tablets, 500mg
    • A message from the State of New Jersey Department of Human Services: How NJ FamilyCare is working to support New Jerseyans’ health care needs during the Coronavirus emergency
    • Coronavirus resources
    • Referrals no longer needed!
    • Services for children diagnosed with Autism Spectrum Disorder
    • 3 ways to get care
    • Removal of Ranitidine from the market
    • Teledentistry is now available
    • Attention: Manufacturer recall of Phenytoin Suspension
    • Language translator services
    • Attention Members: Manufacturer recall of Lamotrigine 100 mg tablets
    • Atención a los miembros: Retiro del fabricante de comprimidos, cápsulas y jarabes de ranitidine
    • Attention Members: Manufacturer recall of Ranitidine Tablets, Capsules and Syrup
    • ¿Busca maneras de retribuir en esta época de fiestas?
    • Looking for ways to give back this holiday season?
    • Atención miembros: Retiro del fabricante de comprimidos y cápsulas de ranitidina
    • Attention Members: Manufacturer recall of Ranitidine Tablets & Capsules
    • Important Information for SNAP Recipients about your February Benefits
    • A message from Human Services Commissioner Johnson: Fighting Lead with Nutrition
    • Attention Members: Manufacturer recall of Natpara for Injection
    • Recall of Losartan Potassium and Losartan Potassium and Hydrochlorothiazide tablets
    • Attention Members: Manufacturer recall of Fluorouracil Injection
    • Recall of Promacta 12.5mg for Oral Suspension
    • Updates to the Internal Appeal process
    • Recall of 8.4% Sodium Bicarbonate Injection
    • Organ and tissue donation saves lives
    • Recall of Fentanyl Transdermal 12 mcg/h Patches
    • Recall of Ceftriaxone for Injection
    • Recall of Losartan Potassium Hydrochlorothiazide Tablets
    • Recall of Losartan Potassium Tablets
    • Recall of Amlodipine Valsartan Tablets USP, Valsartan HCTZ Tablets USP and Valsartan Tablets USP
    • Recall of Valsartan, Amlodipine/Valsartan and Valsartan/Hydrochlorothiazide Tablets
    • Treatment for substance use disorders at Long-Term Residential facilities
    • Retiro de jeringas precargadas de dosis única de Symjepi (epinefrina) inyectable de 0.15 mg (0.15 mg/0.3 ml) y 0.3 mg (0.3 mg/0.3 ml)
  • NJ Health Privacy Forms-English
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NJ Health Privacy Forms-English

Pdf Image207135_HNJH - Authorization for Disclosure of PHI_English  

Pdf Image207135_HNJH - Confidential Communication_English  

Pdf Image207135_HNJH - Request for Accounting of Disclosure_English  

Pdf Image207135_HNJH - Request for Appointment of Legal Rep_English  

Pdf Image207135_HNJH - Request for Appointment of Limited_English  

Pdf Image207135_HNJH - Request for Representation Deceased Member_English  

Pdf Image207135_HNJH - Request for Termination of Confidential Communications_English  

Pdf Image207135_HNJH - Request to Terminate an Appointed Legal or Limited PR_English  

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Products and services are provided by Horizon Blue Cross Blue Shield of New Jersey, Horizon Insurance Company, Horizon Healthcare of New Jersey, and/or Horizon Healthcare Dental, Inc., each an independent licensee of the Blue Cross Blue Shield Association. Communications may be issued by Horizon Blue Cross Blue Shield of New Jersey in its capacity as administrator of programs and provider relations for all its companies. The Blue Cross® and Blue Shield® names and symbols are registered marks of the Blue Cross Blue Shield Association. The Horizon® name and symbols are registered marks of Horizon Blue Cross Blue Shield of New Jersey.

 

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