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Electronic Data Interchange (EDI)

Electronic Data Interchange (EDI) services provide a more efficient and rapid exchange of information between physicians, other health care professionals and customers. We facilitate electronic transactions that will result in decreased paperwork, reduced errors, faster payment and better service.

If you require assistance for any electronic transaction listed below, please have the Horizon EDI Gateway ID or Carrier Reference Claim ID available to provide to the EDI Service Desk Representative.

Claims and Other Transactions

If you require assistance for any electronic transaction listed below, please have the Horizon EDI Gateway ID or Carrier Reference Claim ID available to provide to the EDI Service Desk Representative.

  • Claims and Claims Status
  • Eligibility Status
  • Request For Authorization
  • Referrals

Information Regarding Authorized Horizon BSBCNJ Trading Partners

Healthcare Providers and Agents who wish to discuss current Authorized Horizon BCBSNJ Trading Partners and communication methods should contact the Horizon BCBSNJ EDI Service Desk. The EDI Service Desk can be contacted toll-free at 1-888-334-9242 or via e-mail at HorizonEDI@HorizonBlue.com. Representatives are available weekdays from 7 a.m. to 6 p.m. ET

Please have the following information available:

  • Organization Name
  • Provider NPI and Tax ID
  • Electronic Transaction Example: 835 Electronic Remittance Advice, Claims, Eligibility, Claim Status, etc.
  • Trading Partner Name (if applicable)

Trading Partner Electronic Transaction Exchange Enrollment

Horizon BCBSNJ exchanges data with several vendors and clearing houses. Trading Partners wishing to exchange data electronically with Horizon BCBSNJ should complete our Electronic Transaction Authorization Form, and Trading Partner Checklist. Trading Partners who are interested in participating in the Horizon BCBSNJ 835 ERA Program must complete the Horizon BCBSNJ 835 ERA Enrollment Form and 835 Trading Partner Checklist. All forms must be faxed to 1-973-274-4353 or emailed to HorizonEDI@HorizonBlue.com.

Horizon BCBSNJ External Companion Guide
Companion Guide for Transactions and Communication/Connectivity Information
Instructions related to Transactions based on ASCX12 Implementation Guides, version 005010 Errata