Electronic Funds Transfer (EFT)
Electronic Funds Transfer (EFT) is a fast and easy way to receive reimbursement in an electronic format from Horizon BCBSNJ.
EFT helps our providers:
- Improve cash flow.
- Get faster access to funds.
- Reduce administrative effort and expense.
- Eliminate the risk of checks being lost or stolen.
EFT Registration for Professionals
EFT registration for participating and nonparticipating physicians, other health care and ancillary professionals is performed through NaviNet®. To register for EFT, sign in to NaviNet.net, access the Horizon BCBSNJ Plan Central page and go to > Claim Management > EFT Registration > Enroll.
Once you enroll, we will perform two test deposits (under a dollar) into the bank account you indicated. You must confirm receipt of the test deposits within 30 days to complete your EFT registration. Once you confirm that the tests were successful, it takes only 2 to 4 business days before EFTs begin.
If you’re not yet registered with NaviNet, please visit NaviNet.net and click 'sign up.'
If you have any technical issues pertaining to EFT, please call the eService Desk toll-free at 1-888-777-5075, option 3 or send an email to Provider_Portal@HorizonBlue.com. Representatives are available weekdays from 7 a.m. to 6 p.m.
EFT Registration for Ancillary Facilities
To initiate the EFT registration process for participating and nonparticipating ancillary facilities, please complete the Horizon Blue Cross Blue Shield of New Jersey EFT Ancillary Form and mail it to:
Horizon Blue Cross Blue Shield of New Jersey
3 Penn Plaza East – PP14K
Newark, NJ 07105-2200
Attn: Ancillary Reimbursement – EFT Enrollment
The Horizon Blue Cross Blue Shield of New Jersey EFT Ancillary Enrollment Form ONLY applies to Ancillary Facilities. All other providers must register for EFT through NaviNet. Please refer to Registration for Professionals Section for instructions.
Electronic Remittance Advice (ERA) Registration and Investigation Requests
Providers who are interested in the Horizon BCBSNJ ERA program must complete the Horizon BCBSNJ ERA Enrollment Form and submit to the mailing information provided on the form.
Electronic Remittance Advice (ERA) Investigation Requests
If you need help with a Remittance Advice/835 Voucher investigation, please have the following information available:
- Provider NPI and Tax ID.
- Check date.
- Check amount.
- Check number.
Frequently Asked Questions
Q. I’ve looked on NaviNet but can’t find the EFT Registration link. Why can’t I see this?
A. The EFT Registration link is only visible to those NaviNet users designated as “Security Officers.” If you do not have Security Officer rights, then you will not see the EFT Registration link. Please call NaviNet Customer Care at 1-888-482-8057 for assistance.
Q. Whom do I call if I need help registering for EFT?
A. Physicians, other health care professionals and ancillary professional providers that need help with EFT registration, may contact Horizon BCBSNJ’s eService Desk: call 1-888-777-5075 or email provider_portal@HorizonBlue.com . Ancillary facilities that have questions about EFT registration should contact their Ancillary Contract Specialist.
Q. Are reimbursements for all Horizon BCBSNJ products made electronically?
A. All claims processed for services provided to members enrolled in Horizon BCBSNJ plans are made via Electronic Funds Transfer (EFT) for providers receiving EFT. However, we do print and mail paper Explanations of Payments (EOPs) to accompany certain EFT payments made for services provided to members enrolled in the Federal Employee Program (FEP) and certain national account employer groups.
Q. What do I do if my bank information changes?
A. Physicians, other health care professionals and ancillary professional providers whose banking arrangements change, may simply sign in to NaviNet, go to the EFT Registration transaction and update the banking information online. After the update, a new set of test deposits will be conducted. Once the administrator confirms the test deposits, the EFT routing will change to the new bank account. Ancillary facilities may submit changes to their bank account information, in writing, to their Ancillary Contract Specialist. Please be sure to direct any such changes at least 30 days in advance to ensure there will be no interruption in your service.
- For additional answers regarding EFT claims and procedures, log in to NaviNet.net, select Help and then select Horizon BCBSNJ.
- Horizon BCBSNJ External Companion Guide
- Electronic Enrollment Batch Layout
- Electronic Authorization Form
- 835 Electronic Enrollment Form
- Trading Partner Checklist
- 835 Trading Partner Checklist
If you have any questions regarding ERA, please call the EDI Service Desk toll-free at 1-888-334-9242 or send an email to HorizonEDI@HorizonBlue.com. Representatives are available weekdays from 7 a.m. to 6 p.m., ET.