New UNITE HERE HEALTH Group Effective Sept. 1
Horizon BCBSNJ is pleased to announce that we now provide health insurance coverage to a new group within UNITE HERE HEALTH (UHH), a multi-employer benefit trust fund serving the hospitality, food service and gaming industries.
Effective September 1, 2020, this group is enrolled in the Horizon BCBSNJ plan noted below.
| Group Name | Group # | Horizon BCBSNJ plan | ID Card Prefix |
|---|---|---|---|
| UNITE HERE HEALTH-NY | 76315 | Horizon PPO | D2W |
Members enrolled in this Horizon PPO plan access their network benefits when they visit providers participating in our broad Horizon PPO Network. This plan also provides members with in-network coverage outside our local service area through the BlueCard® PPO program.
For information about UNITE HERE HEALTH member benefits, please access the Benefits & Eligibility tool within NaviNet or call Physician Services at 1-800-624-1110 or our Centralized Service Center at 1-888-666-2535.
UHH PRIOR AUTHORIZATION LISTS
The list of services/procedures that require PA for UHH-NY 76315 members, as well as all other UHH members, is available online.
SUBMITTING PRIOR AUTHORIZATION REQUESTS
Most prior authorization requests can be submitted online. Simply log into NaviNet.net and select Horizon BCBSNJ from the My Health Plans dropdown. Select Referrals and Authorization, and then select Utilization Management Requests.
As noted on the online PA lists, certain services to be provided require prior authorization through business partners working on our behalf.
We encourage all providers to review this information to ensure that prior authorization is obtained where necessary to avoid delays in claim processing.