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CRNAs Invited to Submit Applications to Participate with Horizon BCBSNJ

Horizon Blue Cross Blue Shield of New Jersey is proud of the depth and breadth of our participating network of physicians, other health care professionals and facilities. We are always seeking to provide our members with increased in-network access to the care and services they need.

As part of this commitment, we are pleased to announce that we have begun to credential Certified Registered Nurse Anesthetists (CRNAs) to participate in our Horizon Managed Care Network and our Horizon PPO Network.1

We invite CRNAs that practice in our service area2 to submit an application to join our Horizon Managed Care Network3 and/or our Horizon PPO Network.

Submitting an application for participation is easy.

  1. Access our Other HealthCare Professional Checklist
    This document provides instructions and access to all the necessary forms and information we require to complete initial credentialing of a CRNA in either our Horizon Managed Care Network or our Horizon PPO Network.
  1. Use CAQH ProView™
    Using CAQH’s online provider data-collection service, CAQH ProView™, is an easy and efficient way to make the majority of required information available to us.

    Don’t already have a CAQH ProView Profile? Visit proview.caqh.org/pr to self-register to obtain your unique CAQH Provider ID number.
  1. Mail a completed and signed copy of the appropriate 2017 Agreement(s) along with the other required information noted on the Other HealthCare Professional Checklist to:

    Horizon BCBSNJ
    Credentialing Department
    3 Penn Plaza East, PP-14C
    Newark, NJ 07105-2200

We encourage you to join our networks and look forward to working with you to improve the health care of the members enrolled in our health insurance plans.

Participating practices that have questions may contact their dedicated Network Specialist with any questions.

1Practitioners who participate in our Horizon Managed Care Network treat members who are enrolled in one of our managed care products, which include OMNIA℠ Health Plans, Horizon Direct Access®, Horizon EPO, Horizon HMO, Horizon POS, NJ DIRECT, and Horizon Medicare Advantage plans. Practitioners who participate in our Horizon PPO Network treat members who are enrolled in Horizon PPO and Indemnity plans.

2You are eligible to participate in our networks if you meet our credentialing criteria and if your primary practice address is located in New Jersey, or one of the following counties in Delaware (New Castle County), Pennsylvania (Bucks, Delaware, Lehigh, Monroe, Northampton, Philadelphia or Pike Counties), or New York (Bronx, Kings, New York, Orange, Richmond, Rockland or Westchester Counties).

3In addition to meeting our credentialing standards, Practitioners who wish to join the Horizon Managed Care Network must also participate with Medicare. Practitioners who have opted out of Medicare may not participate in the Horizon Managed Care Network.

Published on: September 8, 2017, 12:09 p.m. ET
Last updated on: May 15, 2020, 08:06 a.m. ET