COVID-19
Stay informed. Get the latest information on COVID-19.
Toggle menu
- BACKback to www.horizonblue.com
- PROVIDERS
-
COVID-19 InformationCOVID-19 Information
- COVID-19 Information
- Reminder: Select one method for COVID-19 and Influenza TestingReminder: Select one method for COVID-19 and Influenza Testing
- Antibody testing: FDA and CDC do not recommend use to determine immunityAntibody testing: FDA and CDC do not recommend use to determine immunity
- Antibody testing: Do not use to determine immunityAntibody testing: Do not use to determine immunity
- June 2021 Updates: COVID-19 treatment cost share waiverJune 2021 Updates: COVID-19 treatment cost share waiver
- Reminder: Use correct codes when evaluating for COVID-19Reminder: Use correct codes when evaluating for COVID-19
- Policy Update: Antibody Testing ClaimsPolicy Update: Antibody Testing Claims
- Update: Members’ cost sharing waived for treatment of COVID-19 through June 2021Update: Members’ cost sharing waived for treatment of COVID-19 through June 2021
- Submitting claims for COVID-19 vaccines delivered in non-traditional medical settingsSubmitting claims for COVID-19 vaccines delivered in non-traditional medical settings
- Every shot counts – keeping your patients informed about the COVID-19 vaccinesEvery shot counts – keeping your patients informed about the COVID-19 vaccines
- For Essential Workers, COVID-19 Treatment Covered Under Workers’ Compensation BenefitsFor Essential Workers, COVID-19 Treatment Covered Under Workers’ Compensation Benefits
- Submitting Pharmacy Claims for COVID-19 VaccinationsSubmitting Pharmacy Claims for COVID-19 Vaccinations
- COVID-19 vaccine administration reimbursement at UCCsCOVID-19 vaccine administration reimbursement at UCCs
- COVID-19 vaccines will be covered at 100%COVID-19 vaccines will be covered at 100%
- Coverage for antibody infusion therapyCoverage for antibody infusion therapy
- Update: Antibody Testing ClaimsUpdate: Antibody Testing Claims
- Update: Cost-share waiver for telemedicine and COVID-19 testing extendedUpdate: Cost-share waiver for telemedicine and COVID-19 testing extended
- Behavioral Health Continuity During the COVID-19Behavioral Health Continuity During the COVID-19
- COVID-19 Frequently Asked QuestionsCOVID-19 Frequently Asked Questions
- Reminder to use specific codes when evaluating for COVID-19Reminder to use specific codes when evaluating for COVID-19
- COVID-19 Update: Telemedicine Reimbursement Policy AddendaCOVID-19 Update: Telemedicine Reimbursement Policy Addenda
- Providing Telephonic care with no costs to membersProviding Telephonic care with no costs to members
- COVID-19 Response: Eliminating Cost-Sharing for Qualified In-Network Telemedicine ServicesCOVID-19 Response: Eliminating Cost-Sharing for Qualified In-Network Telemedicine Services
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
-
Why JoinWhy Join
- Why Join
- Our CommitmentOur Commitment
-
Join Our NetworksJoin Our Networks
- Join Our Networks
- Join a Horizon BCBSNJ or Horizon NJ Health Network (Physicians and Other Healthcare Professionals )Join a Horizon BCBSNJ or Horizon NJ Health Network (Physicians and Other Healthcare Professionals )
- Join the Horizon BCBSNJ Network (Ancillary Providers)Join the Horizon BCBSNJ Network (Ancillary Providers)
- Join the Horizon NJ Health Network (Ancillary Providers)Join the Horizon NJ Health Network (Ancillary Providers)
- Join the Horizon Dental NetworkJoin the Horizon Dental Network
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
- Our Healthcare FacilitiesOur Healthcare Facilities
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
-
Products & ProgramsProducts & Programs
- Products & Programs
-
AIM Specialty HealthAIM Specialty Health
- AIM Specialty Health
- Diagnostic Imaging ProgramDiagnostic Imaging Program
- Frequently Asked QuestionsFrequently Asked Questions
- Groups Enrolled With AIMGroups Enrolled With AIM
- Muskoskeletal ProgramMuskoskeletal Program
- Procedure Codes Reviewed by AIMProcedure Codes Reviewed by AIM
- Sleep Disorder Management ProgramSleep Disorder Management Program
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
- Braven HealthBraven Health
- Case ManagementCase Management
- Chronic Care ProgramChronic Care Program
-
BlueCard ProgramBlueCard Program
- BlueCard Program
- BlueCard AnnouncementsBlueCard Announcements
- BlueCard ClaimsBlueCard Claims
- BlueCard Medical Policy/Pre-Certification InfoBlueCard Medical Policy/Pre-Certification Info
- BlueCard Program FAQsBlueCard Program FAQs
- BlueCard Program OverviewBlueCard Program Overview
- BlueCard Program TutorialBlueCard Program Tutorial
- GeoBlue: International CoverageGeoBlue: International Coverage
- How to Identify BlueCard MembersHow to Identify BlueCard Members
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
- Dental ServicesDental Services
- EDI & EFT TransactionsEDI & EFT Transactions
-
eviCore Health CareeviCore Health Care
- eviCore Health Care
- Cardiology Imaging ProgramCardiology Imaging Program
- Molecular and Genomic Testing ProgramMolecular and Genomic Testing Program
- Musculoskeletal ProgramMusculoskeletal Program
- Radiation Therapy ProgramRadiation Therapy Program
- Radiology/Imaging ServicesRadiology/Imaging Services
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
- Horizon Behavioral Health℠Horizon Behavioral Health℠
- Horizon Care@HomeHorizon Care@Home
- Horizon ISC ProgramHorizon ISC Program
- Medical Injectables ProgramMedical Injectables Program
- Patient Health SupportPatient Health Support
- Pharmacy ProgramsPharmacy Programs
-
ProductsProducts
- Products
- Medicare Advantage Network Plans OverviewMedicare Advantage Network Plans Overview
- Managed Care PlansManaged Care Plans
- PPO and Indemnity ProductsPPO and Indemnity Products
- OMNIA Health PlansOMNIA Health Plans
- Horizon Medicare Blue Advantage (HMO)Horizon Medicare Blue Advantage (HMO)
- NJ SHBP/SEHBP Benefit PlansNJ SHBP/SEHBP Benefit Plans
- FEPFEP
- Braven Health℠ Plans(Medicare Advantage)Braven Health℠ Plans(Medicare Advantage)
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
- Recognition Programs and PartnershipsRecognition Programs and Partnerships
- Remote Patient Monitoring for COPD Provided by HGE HealthRemote Patient Monitoring for COPD Provided by HGE Health
- Risk Adjustment OverviewRisk Adjustment Overview
-
Self ServiceSelf Service
- Self Service
-
Interactive Voice Response System (IVR)Interactive Voice Response System (IVR)
- Interactive Voice Response System (IVR)
- Referral Process Using the Interactive Voice Response SystemReferral Process Using the Interactive Voice Response System
- Effective use of the Interactive Voice Response SystemEffective use of the Interactive Voice Response System
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
- Provider Online ServicesProvider Online Services
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
-
Surgical and Implantable Device Management ProgramSurgical and Implantable Device Management Program
- Surgical and Implantable Device Management Program
- About the Surgical and Implantable Device Management ProgramAbout the Surgical and Implantable Device Management Program
-
Cardiac ServicesCardiac Services
- Cardiac Services
- Surgical and Implantable Device Management Program for Cardiac Surgeries Frequently Asked Questions Updated: March 25, 2021Surgical and Implantable Device Management Program for Cardiac Surgeries Frequently Asked Questions Updated: March 25, 2021
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
- Orthopedic ServicesOrthopedic Services
- Medical Policy Criteria and GuidelinesMedical Policy Criteria and Guidelines
- PA/MND ProcessPA/MND Process
- Using Out-of-Network Providers in Surgical ServicesUsing Out-of-Network Providers in Surgical Services
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
- Value-Based ProgramsValue-Based Programs
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
-
Policies & ProceduresPolicies & Procedures
- Policies & Procedures
- HEDIS® ResourcesHEDIS® Resources
-
Claim Submission & BillingClaim Submission & Billing
- Claim Submission & Billing
- Claim Editing PoliciesClaim Editing Policies
- Claim ReimbursementClaim Reimbursement
- Claim SubmissionClaim Submission
- Electronic Claim AdjustmentsElectronic Claim Adjustments
- Explanation of PaymentExplanation of Payment
- PCP Billable ListsPCP Billable Lists
- Pre-payment Correct Coding ReviewsPre-payment Correct Coding Reviews
- Prompt Pay GuidelinesPrompt Pay Guidelines
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
-
Demographic UpdatesDemographic Updates
- Demographic Updates
- The Importance of Demographic UpdatesThe Importance of Demographic Updates
- Provider Directory Management PolicyProvider Directory Management Policy
- CMS Audits to Validate Directory InformationCMS Audits to Validate Directory Information
- Initiating Demographic UpdatesInitiating Demographic Updates
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
-
Inquiries, Complaints & AppealsInquiries, Complaints & Appeals
- Inquiries, Complaints & Appeals
- InquiriesInquiries
- ComplaintsComplaints
- Time Limits for Filing Inquiries/ComplaintsTime Limits for Filing Inquiries/Complaints
- Resolving Inquiries/ComplaintsResolving Inquiries/Complaints
- Appeals of Non-Utilization Management DeterminationsAppeals of Non-Utilization Management Determinations
- Appeals of Utilization Management/Medical Management DeterminationsAppeals of Utilization Management/Medical Management Determinations
- Appeals of Post Service Medical Necessity DeterminationsAppeals of Post Service Medical Necessity Determinations
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
-
PoliciesPolicies
- Policies
-
Medical PoliciesMedical Policies
- Medical Policies
- Allied HealthAllied Health
- DMEDME
- DrugsDrugs
- IntroductionIntroduction
- MedicineMedicine
- ObstetricsObstetrics
- PathologyPathology
- RadiologyRadiology
- SurgerySurgery
- TreatmentTreatment
- MCG Care GuidelinesMCG Care Guidelines
- Documentation Submission GuidelinesDocumentation Submission Guidelines
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
-
Administrative PoliciesAdministrative Policies
- Administrative Policies
- Allowable Practice Locations for PathologistsAllowable Practice Locations for Pathologists
- Appointment Availability Access Standards for Primary Care-Type Providers, ObGyns, Specialists and Behavioral Health ProvidersAppointment Availability Access Standards for Primary Care-Type Providers, ObGyns, Specialists and Behavioral Health Providers
- Credentialing and Recredentialing Policy for Ancillary and Managed Long Term Support Service (MLTSS) ProvidersCredentialing and Recredentialing Policy for Ancillary and Managed Long Term Support Service (MLTSS) Providers
- Credentialing and Recredentialing Policy for Participating Physicians and Healthcare ProfessionalsCredentialing and Recredentialing Policy for Participating Physicians and Healthcare Professionals
- EDI and NaviNet Claims Submission RequirementEDI and NaviNet Claims Submission Requirement
- Electronic Funds Transfer (EFT)Electronic Funds Transfer (EFT)
- Material Adverse Change (MAC) Notification PolicyMaterial Adverse Change (MAC) Notification Policy
- Medical Records Documentation StandardsMedical Records Documentation Standards
- Medicare Advantage ReadmissionMedicare Advantage Readmission
- Never EventsNever Events
- Out-of-Network Referral PolicyOut-of-Network Referral Policy
- Outlier Audit Programs: Post Payment and Pre-PaymentOutlier Audit Programs: Post Payment and Pre-Payment
- Physician and Healthcare Professional Counseling and Termination Policy - Professional CompetencyPhysician and Healthcare Professional Counseling and Termination Policy - Professional Competency
- Participation Status in Products that Utilize Tiering and/or Subset of an Existing Horizon NetworkParticipation Status in Products that Utilize Tiering and/or Subset of an Existing Horizon Network
- Practice Location ReinstatementsPractice Location Reinstatements
- Practice Locations LimitPractice Locations Limit
- Practitioner Office Site Quality and Medical Record Keeping StandardsPractitioner Office Site Quality and Medical Record Keeping Standards
- Provider Directory ManagementProvider Directory Management
- Provider Outlier Program Frequently Asked QuestionsProvider Outlier Program Frequently Asked Questions
- Retainer Based MedicineRetainer Based Medicine
- SHBP/SEHBP Inpatient Readmission ReimbursementSHBP/SEHBP Inpatient Readmission Reimbursement
- Standards for All Types of Medical and Dental Diagnostic Radiology and Imaging FacilitiesStandards for All Types of Medical and Dental Diagnostic Radiology and Imaging Facilities
- Tier Awareness PolicyTier Awareness Policy
- Use of Horizon Hospital Network Performance DataUse of Horizon Hospital Network Performance Data
- Use of Practitioner Performance DataUse of Practitioner Performance Data
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
- BlueCard Medical PoliciesBlueCard Medical Policies
-
Reimbursement Policies & GuidelinesReimbursement Policies & Guidelines
- Reimbursement Policies & Guidelines
- Add-on Payment for COVID-19 Diagnostic Testing Run on High Throughput Technology (U0005)Add-on Payment for COVID-19 Diagnostic Testing Run on High Throughput Technology (U0005)
- After-hours and Weekend CareAfter-hours and Weekend Care
- Ambulance ServicesAmbulance Services
- Ambulatory Electrocardiographic MonitoringAmbulatory Electrocardiographic Monitoring
- Anesthesia Reimbursement GuidelinesAnesthesia Reimbursement Guidelines
- ASC Multiple Procedure MethodologyASC Multiple Procedure Methodology
- Assistant at SurgeryAssistant at Surgery
- Balloon SinuplastyBalloon Sinuplasty
- Bariatric Surgery Billed With Hiatal Hernia RepairBariatric Surgery Billed With Hiatal Hernia Repair
- Bilateral ProceduresBilateral Procedures
- Billing Guidelines for Maternity ServicesBilling Guidelines for Maternity Services
- Cardiac Event DetectionCardiac Event Detection
- Cardiovascular Implant Device Monitoring ServicesCardiovascular Implant Device Monitoring Services
- Casting, Strapping and SplintsCasting, Strapping and Splints
- Chemotherapy AdministrationChemotherapy Administration
- Chronic Care Management ServicesChronic Care Management Services
- Claim Editing PoliciesClaim Editing Policies
- Claims Requiring Additional DocumentationClaims Requiring Additional Documentation
- ClaimsXten Editing RulesClaimsXten Editing Rules
- Clinical Trials Support ProgramClinical Trials Support Program
- Co-Surgeon ReimbursementCo-Surgeon Reimbursement
- Colonoscopy with Modifier 59Colonoscopy with Modifier 59
- Conscious SedationConscious Sedation
- Consultation Services PaymentConsultation Services Payment
- Consumable Medical SuppliesConsumable Medical Supplies
- Continuous Positive Airway Pressure or Bi-level Positive airway Pressure (CPAP/BiPAP) SuppliesContinuous Positive Airway Pressure or Bi-level Positive airway Pressure (CPAP/BiPAP) Supplies
- COVID 19 Antibody TestingCOVID 19 Antibody Testing
- Daily Management of Epidural or Subarachnoid Continuous Drug AdministrationDaily Management of Epidural or Subarachnoid Continuous Drug Administration
- Daily Maximum Units for Surgical Pathology and Microscopic ExaminationDaily Maximum Units for Surgical Pathology and Microscopic Examination
- Determination of Refractive StateDetermination of Refractive State
- Diabetic Screening ServicesDiabetic Screening Services
- Diabetic SuppliesDiabetic Supplies
- Distinct Procedural Service Modifiers (59, XE, XP, XS, XU)Distinct Procedural Service Modifiers (59, XE, XP, XS, XU)
- DME Rent to PurchaseDME Rent to Purchase
- Drug and Immunization PricingDrug and Immunization Pricing
- Duplex ScanningDuplex Scanning
- Drug Wastage – Modifier JWDrug Wastage – Modifier JW
- Duplicate Claim Logic for Independent Laboratory ServicesDuplicate Claim Logic for Independent Laboratory Services
- Enhancement to CMS Always Bundled EditEnhancement to CMS Always Bundled Edit
- Evaluation and Management Services with Chiropractic Manipulative TreatmentEvaluation and Management Services with Chiropractic Manipulative Treatment
- Evaluation and Management Services with Osteopathic Manipulative TreatmentEvaluation and Management Services with Osteopathic Manipulative Treatment
- Evaluation and Management Services billed with Global Radiology, Stress Test, Stress Echo, Myocardial Profusion ImagingEvaluation and Management Services billed with Global Radiology, Stress Test, Stress Echo, Myocardial Profusion Imaging
- False ClaimsFalse Claims
- Frequency of Care Coordination Services and ESRD ProceduresFrequency of Care Coordination Services and ESRD Procedures
- Frequency of G0179Frequency of G0179
- Hip ArthroscopyHip Arthroscopy
- Hospital Non-Patient Laboratory ServicesHospital Non-Patient Laboratory Services
- Hot or Cold Pack TherapyHot or Cold Pack Therapy
- Inpatient ConsultationsInpatient Consultations
- Knee ArthroscopyKnee Arthroscopy
- Lab Panel RebundlingLab Panel Rebundling
- Laboratory Services Billed by PhysiciansLaboratory Services Billed by Physicians
- Laser Treatment of Psoriasis or ParapsoriasisLaser Treatment of Psoriasis or Parapsoriasis
- Maternity ReimbursementMaternity Reimbursement
- Maximum Units for AnesthesiaMaximum Units for Anesthesia
- Medical Nutrition Therapy (MNT)Medical Nutrition Therapy (MNT)
- Microsurgery and Robotic SurgeryMicrosurgery and Robotic Surgery
- Modifier 25Modifier 25
- Modifier 50 Bilateral GuidelinesModifier 50 Bilateral Guidelines
- Modifier 52Modifier 52
- Modifier 53Modifier 53
- Modifier 54Modifier 54
- Modifier 55Modifier 55
- Modifier 56Modifier 56
- Modifier 57Modifier 57
- Modifier 76Modifier 76
- Modifier 77Modifier 77
- Modifier 78Modifier 78
- Modifier SUModifier SU
- Multiple Procedure ReductionsMultiple Procedure Reductions
- Mutually and Non-Mutually Exclusive NCCI Supplemental EditsMutually and Non-Mutually Exclusive NCCI Supplemental Edits
- Non-ESRD ESA Level ReportingNon-ESRD ESA Level Reporting
- Noncovered Related ServicesNoncovered Related Services
- Outpatient ConsultationsOutpatient Consultations
-
Outpatient Facility Code Edits: Bundling and Revenue CodesOutpatient Facility Code Edits: Bundling and Revenue Codes
- Outpatient Facility Code Edits: Bundling and Revenue Codes
- Bundled ServicesBundled Services
- Lab codes when billed with other servicesLab codes when billed with other services
- Revenue Codes Requiring HCPCS CodesRevenue Codes Requiring HCPCS Codes
- Typically packaged codesTypically packaged codes
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
- Outpatient Laboratory Claims: Referring Practitioner RequiredOutpatient Laboratory Claims: Referring Practitioner Required
- Outpatient Therapy Daily MaximumOutpatient Therapy Daily Maximum
- Physician Extenders Non-Surgical ServicesPhysician Extenders Non-Surgical Services
- Pre-Admission TestingPre-Admission Testing
- Pre-Payment Documentation Requests: Facility ClaimsPre-Payment Documentation Requests: Facility Claims
- Post Payment Documentation Requests: Facility ClaimsPost Payment Documentation Requests: Facility Claims
- Pulmonary Diagnostic Procedures when billed with E&M CodesPulmonary Diagnostic Procedures when billed with E&M Codes
- Radiology, Preliminary and Double ReadsRadiology, Preliminary and Double Reads
- RadiopharmaceuticalsRadiopharmaceuticals
- Reimbursement and Billing Guidelines for Anesthesia ClaimsReimbursement and Billing Guidelines for Anesthesia Claims
- Removal of Impacted Cerumen Requiring InstrumentationRemoval of Impacted Cerumen Requiring Instrumentation
- Screening and Diagnostic Mammography & 3D TomosynthesisScreening and Diagnostic Mammography & 3D Tomosynthesis
- Site of Service DifferentialSite of Service Differential
- Smoking CessationSmoking Cessation
- Status N CodesStatus N Codes
-
Telemedicine ServicesTelemedicine Services
- Telemedicine Services
- Telemedicine Services Reimbursement Policy: Temporary Addendum for Horizon BCBSNJ Commercial/ASO plans and productsTelemedicine Services Reimbursement Policy: Temporary Addendum for Horizon BCBSNJ Commercial/ASO plans and products
- Telemedicine Services Reimbursement Policy: Temporary Addendum for Horizon Medicare AdvantageTelemedicine Services Reimbursement Policy: Temporary Addendum for Horizon Medicare Advantage
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
- Ulcer Debridement and Ulcer StagesUlcer Debridement and Ulcer Stages
- Urinalysis with Evaluation and Management (E&M) ServicesUrinalysis with Evaluation and Management (E&M) Services
- Urine Drug Screening/TestingUrine Drug Screening/Testing
- Vitamin D TestingVitamin D Testing
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
-
Utilization ManagementUtilization Management
- Utilization Management
- Clinical Practice GuidelinesClinical Practice Guidelines
- PT/OT Outpatient Prior Authorization for Horizon Medicare Advantage PlansPT/OT Outpatient Prior Authorization for Horizon Medicare Advantage Plans
-
Services Requiring Prior AuthorizationServices Requiring Prior Authorization
- Services Requiring Prior Authorization
- Prior Authorization Procedure Search ToolPrior Authorization Procedure Search Tool
- BlueCard MembersBlueCard Members
- FEP MembersFEP Members
- Medicare AdvantageMedicare Advantage
- OMNIA Health PlansOMNIA Health Plans
- SHBP/SEHBPSHBP/SEHBP
- UNITE HERE HEALTHUNITE HERE HEALTH
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
- Utilization Management Request ToolUtilization Management Request Tool
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
-
ResourcesResources
- Resources
-
Consumer Assessment of Healthcare Providers and Systems (CAHPS)Consumer Assessment of Healthcare Providers and Systems (CAHPS)
- Consumer Assessment of Healthcare Providers and Systems (CAHPS)
- Care Coordination Part 1Care Coordination Part 1
- Introduction to Health Plan CAHPSIntroduction to Health Plan CAHPS
- Customer Service and Improving Patient ExperienceCustomer Service and Improving Patient Experience
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
- Cultural CompetencyCultural Competency
- Educational WebinarsEducational Webinars
- Electronic ID CardsElectronic ID Cards
- HealthSphereHealthSphere
-
Manuals & User GuidesManuals & User Guides
- Manuals & User Guides
- AgreementsAgreements
- Ancillary ManualAncillary Manual
-
Hospital ManualHospital Manual
- Hospital Manual
- Claims Submissions and ReimbursementClaims Submissions and Reimbursement
- Coordination of BenefitsCoordination of Benefits
- HIPAAHIPAA
- Horizon Behavioral HealthHorizon Behavioral Health
- IdentificationIdentification
- Inquiries, Complaints and AppealsInquiries, Complaints and Appeals
- Patient Health SupportPatient Health Support
- Patient-Centered ProgramsPatient-Centered Programs
- Policies, Procedures and General GuidelinesPolicies, Procedures and General Guidelines
- ProductsProducts
- Programs Administered by eviCore healthcarePrograms Administered by eviCore healthcare
- Quality ManagementQuality Management
- Quality Recognition ProgramsQuality Recognition Programs
- ServiceService
- The BlueCard ProgramThe BlueCard Program
- Utilization ManagementUtilization Management
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
-
Participating Physician and Other Health Care Professional Office ManualParticipating Physician and Other Health Care Professional Office Manual
- Participating Physician and Other Health Care Professional Office Manual
- At Your ServiceAt Your Service
- The BlueCard ProgramThe BlueCard Program
- Claims Submissions and ReimbursementClaims Submissions and Reimbursement
- Coordination of BenefitsCoordination of Benefits
- HIPAAHIPAA
- Horizon Behavioral HealthHorizon Behavioral Health
- Horizon Hospital NetworkHorizon Hospital Network
- IdentificationIdentification
- Inquiries, Complaints and AppealsInquiries, Complaints and Appeals
- Member Rights and ResponsibilitiesMember Rights and Responsibilities
- Patient-Centered ProgramsPatient-Centered Programs
- Patient Health SupportPatient Health Support
- Payment Summaries and VouchersPayment Summaries and Vouchers
- Policies, Procedures and General GuidelinesPolicies, Procedures and General Guidelines
- ProductsProducts
- Provider ResponsibilitiesProvider Responsibilities
- Quality ManagementQuality Management
- Quality Recognition ProgramsQuality Recognition Programs
- ReferralsReferrals
- ServiceService
- Special ProgramsSpecial Programs
- Utilization ManagementUtilization Management
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
- Welcome Kit HandbookWelcome Kit Handbook
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
- Network SpecialistsNetwork Specialists
-
Provider Self-Service ToolsProvider Self-Service Tools
- Provider Self-Service Tools
- Eligibility and Benefits Cost Share EstimatorEligibility and Benefits Cost Share Estimator
- NaviNetNaviNet
- Prior Authorization Procedure Search Tool Prior Authorization Procedure Search Tool
- Provider Data Maintenance ToolProvider Data Maintenance Tool
- VideosVideos
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
- Provider communications resourcesProvider communications resources
- Quality Resource CenterQuality Resource Center
-
TrainingTraining
- Training
- CMS Training RequirementsCMS Training Requirements
-
EducationEducation
- Education
- ProductsProducts
- NavinetNavinet
-
Online ToolsOnline Tools
- Online Tools
- Electronic Funds TransferElectronic Funds Transfer
- Health Risk AssessmentHealth Risk Assessment
- Radiation Therapy Medical Necessity DeterminationRadiation Therapy Medical Necessity Determination
- Utilization Management Request ToolUtilization Management Request Tool
- Virtual ID CardsVirtual ID Cards
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
-
FormsForms
- Forms
- Forms by Plan TypeForms by Plan Type
-
Forms by Specialty TypeForms by Specialty Type
- Forms by Specialty Type
- Horizon Behavioral HealthHorizon Behavioral Health
- Radiology Center Assessment Tool (RCAT)Radiology Center Assessment Tool (RCAT)
- Radiology Professional Group Assessment ToolRadiology Professional Group Assessment Tool
- Reimbursement / PaymentReimbursement / Payment
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
-
Forms by TypeForms by Type
- Forms by Type
- Appeal / DisputeAppeal / Dispute
- Assess / Evaluate / ExamineAssess / Evaluate / Examine
- AuthorizationsAuthorizations
- ClaimClaim
- ConsentConsent
- CredentialingCredentialing
- Electronic Transaction FormsElectronic Transaction Forms
- Enroll / Elect / ApplyEnroll / Elect / Apply
- Horizon NJ TotalCare (HMO D-SNP) FormsHorizon NJ TotalCare (HMO D-SNP) Forms
- Inquiry / RequestInquiry / Request
- Prescription Drug Mail OrderPrescription Drug Mail Order
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
- Frequently Used FormsFrequently Used Forms
- MiscellaneousMiscellaneous
- W9 Form-DentalW9 Form-Dental
- W9 Form-MedicalW9 Form-Medical
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
- NewsNews
- FIND A DOCTOR
- MEMBER SIGN IN
- SHOP FOR A PLAN
