Resolving Inquiries/Complaints

Inquiries and complaints will typically be responded no later than 30 days from Horizon BCBSNJ’s receipt of such inquiry or complaint.

If an inquiry or complaint involves urgent or emergent care issues, responses are expedited consistent with the circumstances and patient need involved. Our final response will describe what further rights you may have concerning the matter in question.

Those who remain dissatisfied with the outcome of their inquiries and complaints at the conclusion of the internal inquiry and complaint process have the right to contact the following state agency:

Department of Banking and Insurance
Consumer Protection Services
PO Box 329
Trenton, NJ 08625-0329