Initiating Demographic Updates

To initiate demographic updates to the practice or practitioner information that Horizon BCBSNJ has on file, please email a request letter, along with all appropriate supporting documentation, to EnterprisePDM@HorizonBlue.com. You may also mail documents to:

Horizon BCBSNJ Provider Files
3 Penn Plaza East, PP-14C
Newark, NJ 07105-2200

Letters should:

Be on your practice letterhead (or the letterhead of your authorized credentialing/files vendor).
Include the name, phone number and email address of the requestor.
Clearly outline the requested changes/updates.
Identify the effective date(s) of changes (please provide at least 30 days’ advance notice).
Be accompanied by all appropriate supporting documentation.

Review our Supporting Documentation Requirements for various demographic update requests for Practices and Practitioners.

Below are some of the important pieces of information (including specific criteria about certain information) that you should ensure are accurate and up-to-date.

For Practices

For Practitioners

Practice name
Type 2 NPI
Address (including suite number, floor number or building number)
Phone numbers (practice phone numbers should be those numbers that a member would call to schedule an appointment with practitioners at a particular practice location)
Email address
Languages Spoken (other than English)
Office Hours
Billing Information/Billing Company Information
Affiliated Practitioners (Practitioners at a particular practice location)

Name
Gender
Degree(s)
Type 1 NPI
Specialty (please note that Horizon BCBSNJ does not credential practitioners in more than one specialty).
Email address
Board Certification(s)
Office locations at which you practice
Accepting new patients [per practice location(s)]
Languages Spoken (other than English)
Hospital Affiliation(s)
Practice Limitations

Attention: COVID-19 vaccine administration is underway

Attention:

Braven Health

Initiating Demographic Updates