PO Box 820 Newark NJ 07105-0820 You may also contact a Member Services Representative by signing in and using the Email Us or Chat tools. If you are a hospital provider or health care.
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All services rendered including capitated encounters and Fee-For-Service claims must be submitted on the CMS 1500 HCFA 1500 or UB-04 claim form or via electronic submission in a.
Horizon nj health claims address. Submitted to the following address. Horizon NJ Health is required by State and Federal regulations to capture and report specific data regarding services rendered to its members. Horizon NJ TotalCare HMO D-SNP is an HMO Medicare Advantage Dual Eligible Special Needs plan with a Medicare contract and a contract with the State of New Jersey Medicaid Program.
Should you have questions regarding billing or appeals please contact the Physician and Health Care Hotline at 1-800-682-9091 andor your Professional Relations Representative. This form authorizes Horizon BCBSNJ to report specific information about beneficiaries to the Centers for Medicare Medicaid Services CMS as a CMS mandate requires of group health insurance plans. Horizon blue cross blue shield of new jersey magellannj direct po.
To see all available Qualified Health Plan options go to the New Jersey Health Insurance Marketplace at Get Covered NJ. Substance Use Disorder Claims and Information. Enrollment in HIC Medicare products andor Horizon NJ TotalCare HMO D-SNP depends on contract renewal.
Horizon BCBSNJ PO Box 25 Newark NJ 07101-0025 Behavioral Health Care Claims When providing behavioral health care check the patients ID card for information on the behavioral health and substance use disorder care administrator. Horizon NJ TotalCare HMO D-SNP Misc MemberProvider Correspondence PO Box 24081 Newark NJ 07101-0406 Nonparticipating Providers Horizon NJ TotalCare HMO D-SNP Claim Appeals and Grievances PO Box 24079 Newark NJ 07101-0406 Electronic Claim Submissions. Products and services are provided by Horizon Blue Cross Blue Shield of New Jersey Horizon Insurance Company Horizon Healthcare of New Jersey Braven Health andor Horizon Healthcare Dental Inc each an independent.
Need to submit transactions to this insurance carrier. Horizon BCBSNJ PO Box 656 Newark NJ 07101-0656 For all other claims. Mental healthsubstance abuse claims to.
To see all available Qualified Health Plan options go to the New Jersey Health Insurance Marketplace at Get Covered NJ. Enter Account NPI or Tax ID. Claim appeals may be submitted by.
Box 820 po box 5172 newark nj 07101-0820 columbia md 21045-5172 fraud warning any person who knowingly files a statement of claim containing any false or misleading information is subject to criminal and civil penalties. Products and services are provided by Horizon Blue Cross Blue Shield of New Jersey Horizon Insurance Company Horizon Healthcare of New Jersey Braven Health andor Horizon Healthcare Dental Inc each an independent. Products are provided by HIC andor Horizon NJ Health.
CMS uses this information to properly coordinate payment of benefits among health plans so that claims are paid accurately.
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