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Hospitals & Ancillary Providers

To ensure bills are paid correctly and in a timely manner, bills must be submitted within the time frame specified in the Hospital or Ancillary Provider Agreement or by law.

Hospitals, health care professionals, and facilities that are exempt from the state's mandate must follow these simple instructions to avoid payment delays:

  1. Itemize services using Revenue Codes, HCPCS and CPT®-4 codes, where applicable.
  2. Submit charges on original red and white UB04 claim forms.
  3. Billed charges must reflect the hospital’s usual and customary charges.
  4. Attach copies of related medical records to the submission and mail to:
    Horizon Casualty Services, Inc.
    PO Box 10175
    Newark, NJ 07101-3175

Coding and reporting of services must be in accordance with standard coding practices that are consistent with the Centers for Medicare & Medicaid (CMS) National Correct Coding Initiatives (NCCI).

CPT® is a registered mark of the American Medical Association.