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Billable Service Exceptions

Eligible Laboratory Procedures Rendered by a Practice

We will consider certain laboratory services for reimbursement when rendered in an office setting by participating Horizon Managed Care Network or Horizon PPO Network practitioners in certain specialties.

PCP Billable Lists

We will consider certain procedure codes for fee-for-service reimbursement when submitted by Primary Care Practitioners (PCPs) for services provided to patients enrolled in certain Horizon BCBSNJ managed care plans.