Claim
Claim Form - Medical - Traditional (SHBP)
New Jersey SHBP members with a Traditional plan use this form to file claims. ID: 0704
Horizon Health Insurance Claim Form
Horizon HMO, Horizon POS, Horizon Direct Access, Horizon EPO, Horizon PPO, Traditional, National Accounts and OMNIA Health Plan members use this form for medical claims. ID: 7190
Prescription Drug Claim Form - Prime Therapeutics
Use this claim form for prescriptions filled by Prime Therapeutics. Prime Therapeutics LLC is an independent company providing pharmacy benefit management services for Horizon BCBSNJ members. ID: 3272
