HorizonDocs

HorizonDocs is a digital tool for professional providers that makes responding to our requests for documentation faster, easier and more convenient. HorizonDocs is accessed through NaviNet.

HorizonDocs is a web-based, centralized document repository that allows us to securely request documentation from you and allows you to securely send the requested documents to us, all in one place. To send requested documentation, you will select the category Post Service Medical Records.

You can send a variety of requested documentation:

• Lists of members who require screenings
• Results and Recognition Performance and Incentive reports
• HEDIS^® chart requests
• Electronic Health Records (EHR) Data Submission Templates

Benefits of HorizonDocs

HorizonDocs makes exchanging protected health information safe and secure. It also offers additional benefits and features, including

• The organization of documents by category and sub-category.
• Documents are requested from you based on your Tax ID Number.
• You control who can receive and send documentation via HorizonDocs based on the sensitivity level of the documents. Each user is assigned a permission level to view and respond to requests for Sensitive – Clinical documents, Sensitive – Non-clinical documents or General Documents.
• Email notifications are generated when documents are requested, sent and received.

When to use HorizonDocs

You can ONLY use HorizonDocs when requested.

• Please DO NOT send documentation we have not specifically requested through HorizonDocs.
• You must continue to use existing channels/processes to submit time-sensitive documentation such as authorizations, inquiries, complaints, appeals, claims-related documentation, etc.
• You will be notified when these documents can be exchanged via the HorizonDocs portal.

NaviNet Security Officers and HorizonDocs

You can only access HorizonDocs by a link on NaviNet. All providers MUST have access to NaviNet to use HorizonDocs.

Providers who do not have access to NaviNet can register online.

• To register, submit the requested contact and office information and follow the registration process.
• The user who registers the provider on NaviNet will automatically be assigned as the Security Officer for the provider.

Before you can use HorizonDocs, your office’s Security Officer has to establish settings and grant access for users in your office. Your Security Officer is responsible for:

• Setting up and managing user permissions in your office so that documents can be viewed by the appropriate staff per roles and “sensitivity level” settings.
• Registering users’ email addresses so they receive email notices when we request information through HorizonDocs.

How to access HorizonDocs

Once your Security Officer grants you access, you can:

1. Sign in to NaviNet
2. Select Horizon BCBSNJ or Horizon NJ Health from the My Health Plans menu
3. Click HorizonDocs within the Workflows for this Plan section

If the HorizonDocs option is not available, try these two steps.

1. Click on Horizon Email Share and review the information. If correct, hit accept; if wrong, update and hit accept.
2. Sign out of NaviNet and sign back in.
3. If the option is still not there, your Security Officer must provide you access.

Contact information

NaviNet should only be contacted for Security Officer issues.

For technical issues related to the HorizonDocs tool after you are signed into NaviNet, please contact the Horizon Helpdesk by emailing Provider_Portal@HorizonBlue.com or calling 1-888-777-5075, option 3.

If you have questions about HorizonDocs, please contact your Network Specialist, Hospital Network Specialist or Ancillary Reimbursement Analyst.