Home Feed https://www.horizonblue.com/rss/home/feed en Phone scam targeting BCBSA members https://www.horizonblue.com/members/news/member-alerts/phone-scam-targeting-bcbsa-members <span class="field field--name-title field--type-string field--label-hidden">Phone scam targeting BCBSA members</span> <span class="field field--name-created field--type-created field--label-hidden">Mon, 04/15/2019 - 09:51</span> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Please be aware of a phone scam using “caller ID spoofing” to impersonate the Blue Cross Blue Shield Association. The number in the caller ID may appear as <span class="class-bold">1-888-630-2583</span>. If you receive a phone call from this number, it is likely fraudulent or malicious. Horizon BCBSNJ will never call you directly to ask you to divulge personal information. When in doubt, hang up and call the number on the back of your Member ID card. If you are not a member call the BCBSA Report Fraud Hotline at <span class="class-bold">1-877-327-2583</span>.<a href="https://www.bcbs.com/healthcare-fraud">Please visit the Blue Cross Blue Shield Association web site for more information.</a></p> </div> Mon, 15 Apr 2019 13:51:10 +0000 horizonbcbsnj 4358 at https://www.horizonblue.com Surgical and Implantable Device Program to Include Cardiac Services https://www.horizonblue.com/providers/news/news-legal-notices/surgical-and-implantable-device-program-to-include-cardiac-services <span class="field field--name-title field--type-string field--label-hidden">Surgical and Implantable Device Program to Include Cardiac Services</span> <span class="field field--name-created field--type-created field--label-hidden">Mon, 04/15/2019 - 04:59</span> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Effective <span class="class-bold">July 15, 2019</span>, Horizon BCBSNJ will expand our Surgical and Implantable Device Management Program, administered by TurningPoint Healthcare Solutions, LLC (TurningPoint), to include Prior Authorization &amp; Medical Necessity Determination (PA/MND) reviews for certain cardiac services, many of which may require the use of an implantable device.</p> <p>TurningPoint will conduct PA/MND reviews of certain <span class="class-bold">cardiac services</span> to:</p> <ul> <li>Determine medical necessity of the services to be provided</li> <li>Ensure appropriate conservative therapies are attempted prior to invasive procedures</li> <li>Help to ensure that the most appropriate surgery is performed in the most appropriate setting using the most appropriate device(s)</li> <li>Help to improve provider best practices</li> </ul> <p>TurningPoint will accept requests for PA/MND starting on <span class="class-bold">July 1, 2019</span>, for any in-scope cardiac procedures to be performed on or after <span class="class-bold">July 15, 2019</span>.</p> <p><span class="class-bold">Some of the most common cardiac surgical procedures subject to PA/MND review under this program include:</span></p> <table> <tbody> <tr> <td>Implantable Cardioverter Defibrillators</td> </tr> <tr> <td>Pacemaker (Single Chamber)</td> </tr> <tr> <td>Pacemaker (Dual Chamber)</td> </tr> <tr> <td>Pacemaker (Leadless)</td> </tr> <tr> <td>Stent (Angioplasty &amp; Endovascular)</td> </tr> <tr> <td>Stent (Drug Eluting)</td> </tr> </tbody> </table> <p><span class="class-bold">Places of service included in this program</span></p> <p>TurningPoint will conduct PA/MND reviews for services rendered in the following settings:</p> <ul> <li>Inpatient</li> <li>Outpatient</li> <li>Ambulatory Surgical Center</li> <li>Office setting</li> </ul> <p>TurningPoint will not conduct PA/MND reviews of services rendered in the Emergency Room or an observation setting.</p> <p><span class="class-bold">Members included in this program</span></p> <p>TurningPoint will conduct PA/MND reviews of services to be provided to members enrolled in Horizon BCBSNJ fully insured plans/products (including those fully insured plans/products plans that include BlueCard® benefits for care received outside of our local service area).¹ ²</p> <p>TurningPoint will not conduct PA/MND reviews of services to be provided to members enrolled in self-insured Administrative Services Only (ASO) plans as part of this program.³</p> <p><span class="class-bold">Submitting a PA/MND request to TurningPoint</span></p> <p>There are three ways you can request a PA/MND for a cardiac service:</p> <ul> <li>Log on to NaviNet®, select <i>Horizon BCBSNJ</i> from the <i>My Health Plans</i> menu, and: <ul> <li>Mouse over <i>Referrals &amp; Authorization</i> and select <i>TurningPoint PA/MND Requests</i></li> <li>Select <i>Requests</i> within the TurningPoint menu bar or click the <i>Add Request</i> shortcut</li> </ul> </li> <li>If you do not have access to NaviNet, you can submit a request via TurningPoint’s web portal at <span class="class-bold">myturningpoint-healthcare.com</span>. You must register to obtain access credentials by calling TurningPoint at <span class="class-bold">1-833-436-4083</span>, Monday through Friday between 8 a.m. and 5 p.m., Eastern Time.</li> <li>Call TurningPoint at <span class="class-bold">1-833-436-4083</span> during the hours noted above.</li> </ul> <p>Review the information TurningPoint requires for a <a href="/sites/default/files/2019-04/Cardiac_Surgical_Implantable_Code_List.pdf">PA/MND</a> request.</p> <p><span class="class-bold">Provider responsibilities</span></p> <p><span class="class-bold">Physicians</span><br /> Physicians are responsible for requesting PA/MND review from TurningPoint</p> <p>Although some member benefits do not require prior authorization for services rendered in an outpatient setting or a physician’s office, physicians are strongly encouraged to obtain a pre-service MND from TurningPoint prior to providing cardiac services included in this program to ensure that services will be considered medically necessary.</p> <p><span class="class-bold">Hospitals and Ambulatory Surgery Centers</span></p> <p>Rendering hospitals and ambulatory surgical centers are encouraged to call TurningPoint at <span class="class-bold">1-833-436-4083</span> to confirm that a PA/MND has been obtained.</p> <p>TurningPoint will provide authorization and pre-service PA/MND determination notifications to facilities if they are made aware of the appropriate persons/departments to receive such notification. Please call TurningPoint at <span class="class-bold">1-833-436-4083</span> to provide contact information to receive PA/MND determination notifications.</p> <p>Cardiac services submitted on professional and facility claims that are reviewed by TurningPoint on a post-service basis and deemed not medically necessary will not be eligible for coverage or payment by Horizon BCBSNJ. Claims for impacted services will also be processed and reimbursed in a manner consistent with TurningPoint’s guidelines in regard to frequency rules and service maximums.</p> <p><span class="class-bold">Medical policy criteria and guidelines</span><br /> TurningPoint manages and maintains the medical <a href="/turningpoint">policy</a> criteria and guidelines used to conduct PA/MND reviews as part of this program expansion.</p> <p><span class="class-bold">Program details and information</span><br /> Information about this program including the following program resources are available.</p> <ul> <li><a href="/sites/default/files/FAQ_Surgical_Implantable_Cardiac.pdf">Surgical and Implantable Device Management Program for Cardiac Services Q&amp;A</a></li> <li><a href="/sites/default/files/2019-04/Cardiac_Surgical_Implantable_Code_List.pdf">Surgical and Implantable Device Management Program for Cardiac Services Procedure Code Listing</a></li> </ul> <p><span class="class-bold">Questions?</span><br /> If you have any questions, call TurningPoint at <span class="class-bold">1-833-436-4083</span>.</p> <p><small>¹Horizon BCBSNJ members enrolled in plans that include BlueCard benefits who receive care outside of Horizon BCBSNJ’s service area which includes the State of New Jersey, contiguous counties in DE, NY and PA (as well as Lehigh County, PA).</small></p> <p><small>²You can determine member eligibility and benefits by calling the phone number on the back to the member’s ID card. For BlueCard benefit inquiries call <span class="class-bold">1-800-676-2583</span>.</small></p> <p><small>³The back of a self-insured ASO member ID card will state, “Horizon BCBSNJ provides administrative services only and does not assume any financial risk for claims.” A fully insured member’s ID card will not have that message. Please always verify member benefits, as it may be possible that the most current ID card is not presented at the time of service.</small></p> <p><small>NaviNet® is a registered trademark of NaviNet, Inc.</small></p> <p><small>TurningPoint Healthcare Solutions, LLC supports Horizon Blue Cross Blue Shield of New Jersey in the administration and utilization management review of certain surgical services requiring implantable devices for coverage. TurningPoint Healthcare Solutions, LLC is independent from, and not affiliated with Horizon Blue Cross Blue Shield of New Jersey or the Blue Cross and Blue Shield Association.</small></p> </div> Mon, 15 Apr 2019 08:59:27 +0000 horizonbcbsnj 4357 at https://www.horizonblue.com Additional Member Plans to be Included as part of our Surgical and Implantable Device Management Program for Orthopedic Surgeries https://www.horizonblue.com/providers/news/news-legal-notices/additional-member-plans-to-be-included-as-part-of-our-surgical-and-implantable-device-management <span class="field field--name-title field--type-string field--label-hidden">Additional Member Plans to be Included as part of our Surgical and Implantable Device Management Program for Orthopedic Surgeries</span> <span class="field field--name-created field--type-created field--label-hidden">Mon, 04/15/2019 - 02:22</span> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Beginning <span class="class-bold">July 15, 2019</span>, the Surgical and Implantable Device Management program for orthopedic services will also apply to members enrolled in Horizon BCBSNJ Medicare Advantage plans.</p> <p>Through this specialty utilization management program, which Horizon BCBSNJ collaborates with TurningPoint Healthcare Solutions LLC (TurningPoint), TurningPoint conducts Prior Authorization &amp; Medical Necessity Determination (PA/MND) reviews for certain orthopedic surgery services that are requested by participating and nonparticipating physicians when rendered in the following settings¹:</p> <ul> <li>Inpatient</li> <li>Outpatient</li> <li>Ambulatory Surgical Center</li> <li>Physician’s Office</li> </ul> <p>Initially, this program only applied to services provided to Horizon BCBSNJ members enrolled in fully insured plans/products and to those members in fully insured plans/products that include BlueCard® benefits for care received outside of Horizon BCBSNJ’s local service area²,³.</p> <p>Beginning <span class="class-bold">July 1, 2019,</span> TurningPoint will begin accepting PA/MND requests for orthopedic surgery services to be rendered on and after <span class="class-bold">July 15, 2019</span> to members enrolled in Horizon BCBSNJ Medicare Advantage plans.</p> <p><a href="/turningpoint">View more</a> about this program, including a full listing of the procedures and <a href="/sites/default/files/2019-04/ORTHO%20Code_List%20TP.pdf">CPT® codes</a> that are subject to PA/MND review under this program. You can also review information about the PA/MND review process and medical policy guidelines TurningPoint uses to conduct their reviews.</p> <p><span class="class-bold">Questions?</span></p> <p>Horizon BCBSNJ values your participation in our network and the care you provide to our members. If you have any questions, call 1-833-436-4083 Monday through Friday between 8 a.m. and 5 p.m., Eastern Time.</p> <p><small>¹Services rendered in the observation setting and the Emergency Room (ER) are not reviewed by TurningPoint as part of this program. ²Horizon BCBSNJ members enrolled in plans that include BlueCard benefits who receive care outside of&nbsp;Horizon BCBSNJ’s service area which includes&nbsp;the State of New Jersey,&nbsp;contiguous counties in DE, NY and PA (as well as Lehigh County, PA). </small></p> <p><small>³To determine member eligibility and benefits, physicians can call the phone number on the back to the member’s ID card. For BlueCard benefit inquiries call <span class="class-bold">1-800-676-2583</span>.</small></p> <p><small><small>CPT® is a registered trademark of the American Medical Association.<br /> NaviNet® is a registered trademark of NaviNet, Inc.<br /> TurningPoint Healthcare Solutions, LLC&nbsp;supports Horizon Blue Cross Blue Shield of New Jersey in the administration and utilization management review of certain surgical services that require an implantable device for coverage.&nbsp;TurningPoint Healthcare Solutions, LLC&nbsp;is independent from, and not affiliated with Horizon Blue Cross Blue Shield of New Jersey or the Blue Cross and Blue Shield Association.</small></small></p> </div> Mon, 15 Apr 2019 06:22:40 +0000 horizonbcbsnj 4356 at https://www.horizonblue.com April is National Donate Life Month https://www.horizonblue.com/members/news/member-news/april-national-donate-life-month <span class="field field--name-title field--type-string field--label-hidden">April is National Donate Life Month</span> <span class="field field--name-created field--type-created field--label-hidden">Thu, 04/04/2019 - 03:23</span> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>April is National Donate Life Month. During this month and throughout the year, people are encouraged to register as organ and tissue donors. A single organ and tissue donor can save eight lives and restore health to over 75 others.¹Right now, more than 114,000 people nationwide are waiting for a life-saving organ transplant.²</p> <p>Consider registering to help save a life – it only takes a few minutes!</p> <p><i>Horizon BCBSNJ is required by law to send you information about organ and tissue donation and registration</i>.</p> <p>If you live in northern or central New Jersey, contact:</p> <p>New Jersey Sharing Network<br /> 691 Central Avenue<br /> New Providence, NJ 07974<br /> <span class="class-bold">1-800-742-7365<br /> NJSharingNetwork.org</span></p> <p>If you live in southern New Jersey, contact:</p> <p>Gift of Life Donor Program<br /> 401 North 3rd Street<br /> Philadelphia, PA 19123<br /> <span class="class-bold">1-800-DONORS-1 (1-800-366-6771)<br /> Donors1.org</span></p> <p><i>EC003181 (0419)</i></p> <p>&#185;Source: <span class="class-bold">NJSharingNetwork.org</span></p> <p>&#178;Source: <span class="class-bold">Donors1.org</span></p> </div> Thu, 04 Apr 2019 07:23:21 +0000 horizonbcbsnj 4355 at https://www.horizonblue.com Orthopedic Services https://www.horizonblue.com/providers/products-programs/surgical-and-implantable-device-management-program/orthopedic-services <span class="field field--name-title field--type-string field--label-hidden">Orthopedic Services</span> <span class="field field--name-created field--type-created field--label-hidden">Wed, 04/03/2019 - 05:06</span> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><style type="text/css">.padding10px{ padding-bottom:10px; } </style> <p>Horizon BCBSNJ collaborates with TurningPoint to administer PA/MND review for certain orthopedic services, many of which require the use of an implantable device.</p> <p><a href="/sites/default/files/2018-10/Code_List.pdf">Review the procedures subject to PA/MND as part of our Surgical and Implantable Device Management Program for Orthopedic Services.</a></p> <p><span class="class-bold">Members included in this program for orthopedic services</span></p> <p>TurningPoint will conduct PA/MND reviews of services included in the scope of this program to be provided to members enrolled in the following plans/programs:</p> <ul> <li class="padding10px">Horizon BCBSNJ fully insured plans/products including those members enrolled in fully insured plans that include BlueCard® benefits for care received outside of our local service area (i.e., all NJ counties, the contiguous counties in DE, NY and PA, as well as Lehigh County, PA).</li> <li class="padding10px">Beginning <span class="class-bold">July, 1, 2019</span>, TurningPoint will also perform PA/MND review of services to be rendered <span class="class-bold">July, 15, 2019</span> and after to members enrolled in Horizon BCBSNJ Medicare Advantage (MA) plans.</li> </ul> <p class="class-bold">Resources</p> <p><a href="/sites/default/files/FAQ_Surgical_Implantable_Orthopedic.pdf">Surgical and Implantable Device Management Program for Orthopedic Services Q &amp; A</a><br /> <a href="/sites/default/files/2019-04/TP_Training_Manual.pdf">Surgical and Implantable Device Management Program Provider Training Manual</a><br /> <a href="/sites/default/files/2018-10/Code_List.pdf">Surgical and Implantable Device Management Program for Orthopedic Services Procedure Code Listing</a></p> <p><em>CPT</em><em>®</em><em> is a registered trademark of the American Medical Association. </em><br /> <em>NaviNet</em><em>®</em><em> is a registered trademark of NaviNet, Inc.</em><br /> <em>TurningPoint Healthcare Solutions, LLC supports Horizon Blue Cross Blue Shield of New Jersey in the administration and utilization management review of certain orthopedic and cardiac services for coverage. TurningPoint Healthcare Solutions, LLC is independent from, and not affiliated with Horizon Blue Cross Blue Shield of New Jersey or the Blue Cross and Blue Shield Association.</em></p> </div> Wed, 03 Apr 2019 09:06:06 +0000 horizonbcbsnj 4354 at https://www.horizonblue.com Cardiac Services https://www.horizonblue.com/providers/products-programs/surgical-and-implantable-device-management-program/cardiac-services <span class="field field--name-title field--type-string field--label-hidden">Cardiac Services</span> <span class="field field--name-created field--type-created field--label-hidden">Wed, 04/03/2019 - 04:52</span> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Effective <span class="class-bold">July 15, 2019</span>, Horizon BCBSNJ will expand our Surgical and Implantable Device Management Program, administered by TurningPoint Healthcare Solutions, LLC (TurningPoint), to include Prior Authorization &amp; Medical Necessity Determination (PA/MND) reviews for certain cardiac services, many of which may require the use of an implantable device.</p> <p>TurningPoint will accept requests for PA/MND starting on July 1, 2019, for any in-scope cardiac procedures to be performed on or after July 15, 2019.</p> <p><a href="/sites/default/files/Cardiac_Surgical_Implantable_Code_List.pdf">Review the procedures subject to PA/MND as part of our Surgical and Implantable Device Management Program for Cardiac Services.</a></p> <p><b>Members included in this program for Cardiac Services</b></p> <p>TurningPoint will conduct PA/MND reviews of services to be provided to members enrolled in the following plans/programs:</p> <ul> <li>Horizon BCBSNJ fully insured plans/products, including those plans that include BlueCard® benefits for care received outside of our local service area (i.e., all NJ counties, the contiguous counties in DE, NY and PA, as well as Lehigh County, PA)</li> </ul> <p>You can determine member eligibility and benefits by calling the phone number on the back to the member’s ID card. For BlueCard benefit inquiries call <span class="class-bold">1-800-676-2583</span>.</p> <p>TurningPoint will NOT conduct PA/MND reviews of services to be provided to members enrolled in self-insured Administrative Services Only (ASO) plans as part of this program.</p> <p class="class-bold">Resources</p> <p><a href="/sites/default/files/FAQ_Surgical_Implantable_Cardiac.pdf">Surgical and Implantable Device Management Program for Cardiac Services Q &amp; A</a><br /> <a href="/sites/default/files/2019-04/TP_Training_Manual.pdf">Surgical and Implantable Device Management Program Provider Training Manual</a><br /> <a href="/sites/default/files/Cardiac_Surgical_Implantable_Code_List.pdf">Surgical and Implantable Device Management Program for Cardiac Services Procedure Code Listing</a></p> <p><em>CPT</em><em>®</em><em> is a registered trademark of the American Medical Association. </em><br /> <em>NaviNet</em><em>®</em><em> is a registered trademark of NaviNet, Inc.</em><br /> <em>TurningPoint Healthcare Solutions, LLC supports Horizon Blue Cross Blue Shield of New Jersey in the administration and utilization management review of certain orthopedic and cardiac services for coverage. TurningPoint Healthcare Solutions, LLC is independent from, and not affiliated with Horizon Blue Cross Blue Shield of New Jersey or the Blue Cross and Blue Shield Association.</em></p> </div> Wed, 03 Apr 2019 08:52:07 +0000 horizonbcbsnj 4353 at https://www.horizonblue.com Quarterly Claim Editing Update: Second Quarter 2019 https://www.horizonblue.com/providers/news/news-legal-notices/quarterly-claim-editing-update-second-quarter-2019 <span class="field field--name-title field--type-string field--label-hidden">Quarterly Claim Editing Update: Second Quarter 2019</span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 03/29/2019 - 10:05</span> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>On or about <span class="class-bold">May 1, 2019</span>, Horizon Blue Cross Blue Shield of New Jersey will implement an update to our claim editing rules and processes.</p> <p>We encourage you to review details of this update in our <a href="/sites/default/files/2019-03/Q2_2019_Claim_Edits.pdf">Quarterly Claim Editing Update Report</a></p> <ul> <li>The changes noted in this report will be implemented on or about <span class="class-bold">May 1, 2019</span>.<br /> <br /> The effective date of the changes noted in this report will be April 1, 2019 (<em>unless otherwise specified in the report</em>). Changes noted in this report will apply to all claims finalized on and after our implementation date.¹</li> </ul> <p>Read more about our <a href="/providers/policies-procedures/policies/reimbursement-policies-guidelines/claim-editing-policies">Claim Editing Policies</a>.</p> <p>If you have questions, call a Physician Services representative at <span class="class-bold">1-800-624-1110</span> or an Institutional Services representative at <span class="class-bold">1-888-666-2535</span>, Monday through Friday, between 8 a.m. and 5 p.m., Eastern Time.</p> <p><em>¹Claims finalized before this update is implemented will not be adjusted following the implementation for the sole purpose of ensuring conformity with these claim editing rules. If a claim originally finalized before the implementation is adjusted after the implementation for other reasons, the claim editing rules noted here will be applied.</em></p> <hr /> <p class="class-bold">Clear Claim Connection™</p> <p>Participating physicians, other health care professionals and facilities can review how updated claim editing rules impact reimbursement for certain code combinations by using the Clear Claim Connection available via <a href="https://navinet.navimedix.com/sign-in?ReturnUrl=/Main.aspx">NaviNet</a>®.</p> <p>To access Clear Claim Connection, log in to <a href="https://navinet.navimedix.com/sign-in?ReturnUrl=/Main.aspx">NaviNet.net</a> and:</p> <ul> <li>Select <em>Horizon BCBSNJ</em> from the <em>My Health Plans menu</em>.</li> <li>Mouse over <em>Claim Management</em>.</li> <li>Click <em>Clear Claim Connection</em>.</li> </ul> <p>NaviNet® is a registered trademark of NaviNet, Inc.</p> </div> Fri, 29 Mar 2019 14:05:45 +0000 horizonbcbsnj 4352 at https://www.horizonblue.com Medical Policy Revision: Intravenous Antibiotic Therapy for Lyme Disease https://www.horizonblue.com/providers/news/news-legal-notices/medical-policy-revision-intravenous-antibiotic-therapy-for-lyme-disease <span class="field field--name-title field--type-string field--label-hidden">Medical Policy Revision: Intravenous Antibiotic Therapy for Lyme Disease</span> <span class="field field--name-created field--type-created field--label-hidden">Thu, 03/28/2019 - 09:48</span> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Effective <span class="class-bold">June 27, 2019</span>, Horizon BCBSNJ will change the way we consider certain professional claims based on revisions to our medical policy, <em>Intravenous Antibiotic Therapy for Lyme Disease</em>.</p> <p>Access our <a href="https://services3.horizon-bcbsnj.com/hcm/MedPol2.nsf">Medical Policy Manual</a> to review this medical policy content.¹</p> <hr /> <p>Claims submitted for services provided on and after June 27, 2019 to patients enrolled in Horizon BCBSNJ Commercial, Administrative Services Only (ASO) or Medicare Advantage (MA) plans will be processed as follows:</p> <ul> <li>Based on the submitted diagnosis code(s), information may be requested to help us determine the medical appropriateness of the services represented by HCPCS code <span class="class-bold">J0456</span>.<br /><br /> Following our review of medical record information, the services represented by J0456 code above may be denied as not medically necessary.</li> </ul> <p>Unless Horizon BCBSNJ gives written notice that all or part of the above changes have been cancelled or postponed, the changes will be applied to claims for dates of service on and after June 27, 2019.</p> <p><small>¹The content of Horizon BCBSNJ medical policies that apply to Horizon BCBSNJ MA plans may include reference to pertinent National Coverage Determinations (NCDs) and/or Local Coverage Determinations (LCDs). We follow Centers for Medicare &amp; Medicaid Services (CMS) guidelines, NCDs and/or LCDs in our processing of claims for services provided to our MA members. For those services where no LCD or NCD exists, claims for MA members will be processed based on our policy guidelines.</small></p> </div> Thu, 28 Mar 2019 13:48:41 +0000 horizonbcbsnj 4351 at https://www.horizonblue.com Medical Policy Revision: Non-Invasive Home Positive Pressure Ventilation in Adults https://www.horizonblue.com/providers/news/news-legal-notices/medical-policy-revision-non-invasive-home-positive-pressure-ventilation-adults <span class="field field--name-title field--type-string field--label-hidden">Medical Policy Revision: Non-Invasive Home Positive Pressure Ventilation in Adults</span> <span class="field field--name-created field--type-created field--label-hidden">Thu, 03/28/2019 - 09:39</span> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Effective June <span class="class-bold">27, 2019</span>, Horizon Blue Cross Blue Shield of New Jersey will change the way we consider certain claims based on revisions to our medical policy, <em>Non-Invasive Home Positive Pressure Ventilation in Adults</em>.</p> <p>Access our <a href="https://services3.horizon-bcbsnj.com/hcm/MedPol2.nsf">Medical Policy Manual</a> to review this medical policy content.¹</p> <hr /> <p>Regardless of the submitted diagnosis code(s), claims submitted for services provided on and after June 27, 2019 will be processed as noted below.</p> <ul> <li>Information will be requested to help us determine the medical appropriateness of the services represented by HCPCS code <span class="class-bold">E0465</span> on claims for services provided to patients enrolled in Horizon BCBSNJ commercial, Administrative Services Only (ASO) and Medicare Advantage (MA) plans.<br /> <br /> Following our review of medical record information, the services represented by <span class="class-bold">E0465</span> may be denied as not medically necessary.</li> <br /> <li>Information will be requested to help us determine the medical appropriateness of the services represented by HCPCS code <span class="class-bold">E0467</span> submitted on claims for services provided to patients enrolled in Horizon BCBSNJ MA plans.<br /> <br /> Following our review of medical record information, the services represented by E0467 may be denied as not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member based on a national coverage determination or local coverage determination.</li> <br /> <li>The services represented by HCPCS code <span class="class-bold">E0467</span> included on claims for services provided to patients enrolled in Horizon BCBSNJ commercial or ASO plans will be denied as an experimental/investigational, non-covered service.</li> </ul> <p>Unless Horizon BCBSNJ gives written notice that all or part of the above changes have been cancelled or postponed, the changes will be applied to claims on and after June 27, 2019.</p> <p><small><em>¹The content of Horizon BCBSNJ medical policies that apply to Horizon BCBSNJ MA plans may include reference to pertinent National Coverage Determinations (NCDs) and/or Local Coverage Determinations (LCDs). We follow Centers for Medicare &amp; Medicaid Services (CMS) guidelines, NCDs and/or LCDs in our processing of claims for services provided to our MA members. For those services where no LCD or NCD exists, claims for MA members will be processed based on our policy guidelines.</em></small></p> <p><small>CPT® is a registered mark of the American Medical Association.</small></p> </div> Thu, 28 Mar 2019 13:39:32 +0000 horizonbcbsnj 4350 at https://www.horizonblue.com Medical Policy Update: Continuous Passive Motion Device https://www.horizonblue.com/providers/news/news-legal-notices/medical-policy-update-continuous-passive-motion-device <span class="field field--name-title field--type-string field--label-hidden">Medical Policy Update: Continuous Passive Motion Device</span> <span class="field field--name-created field--type-created field--label-hidden">Wed, 03/27/2019 - 13:37</span> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Effective <span class="class-bold">April 29, 2019</span>, Horizon BCBSNJ will change the way we consider certain professional claims for services provided to members enrolled in Horizon BCBSNJ Medicare Advantage (MA) plans based on updates to our medical policy, <em>Continuous Passive Motion Device</em>.</p> <p>Access our <a href="https://services3.horizon-bcbsnj.com/hcm/MedPol2.nsf" target="_blank">Medical Policy Manual</a> to review this medical policy content.¹</p> <hr /> <p>Claims submitted for services provided on and after April 29, 2019 to patients enrolled in Horizon BCBSNJ MA plans will be processed as follows:</p> <ul> <li>Based on the submitted diagnosis code(s), information may be requested to help us determine the medical appropriateness of the services represented by HCPCS code <span class="class-bold">E0935</span>. <p>Following our review of medical record information, the services represented by HCPCS code <span class="class-bold">E0935 </span>may be denied as not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member based on a national coverage determination or local coverage determination.</p> </li> </ul> <p>Unless Horizon BCBSNJ gives written notice that all or part of the above changes have been cancelled or postponed, the changes will be applied to claims for dates of service on and after April 29, 2019.</p> <p>¹ <em>The content of </em><em>Horizon BCBSNJ medical policies that apply to Horizon BCBSNJ MA plans may include reference to pertinent National Coverage Determinations (NCDs) and/or </em><em>Local Coverage Determinations (LCDs). We </em><em>follow Centers for Medicare &amp; Medicaid Services (CMS) guidelines, NCDs and/or LCDs in our processing of claims for services provided to our MA members. For those services where no LCD or NCD exists, claims for MA members are processed based on our policy guidelines.</em></p> </div> Wed, 27 Mar 2019 17:37:40 +0000 horizonbcbsnj 4349 at https://www.horizonblue.com Intravenous Antibiotic Therapy for Lyme Disease https://www.horizonblue.com/node/4348 <span class="field field--name-title field--type-string field--label-hidden">Intravenous Antibiotic Therapy for Lyme Disease</span> <span class="field field--name-created field--type-created field--label-hidden">Wed, 03/27/2019 - 12:26</span> <div class="field field--name-field-medical-policy-type field--type-entity-reference field--label-above"> <div class="field__label">Medical policy type</div> <div class="field__item"><a href="/taxonomy/term/49" hreflang="en">Revised</a></div> </div> <div class="field field--name-field-third-party-url field--type-string field--label-above"> <div class="field__label">Third Party URL</div> <div class="field__item">https://services3.horizon-bcbsnj.com/hcm/MedPol2.nsf/MedicalPolicies/TKEN-6SKN78</div> </div> Wed, 27 Mar 2019 16:26:08 +0000 horizonbcbsnj 4348 at https://www.horizonblue.com Medical Policy Update: Bone Mineral Density Studies and Vertebral Fracture Assessment With Densitometry https://www.horizonblue.com/providers/news/news-legal-notices/medical-policy-update-bone-mineral-density-studies-and-vertebral-fracture-assessment-densitometry <span class="field field--name-title field--type-string field--label-hidden">Medical Policy Update: Bone Mineral Density Studies and Vertebral Fracture Assessment With Densitometry</span> <span class="field field--name-created field--type-created field--label-hidden">Wed, 03/27/2019 - 12:22</span> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Effective <span class="class-bold">April 29, 2019</span>, Horizon BCBSNJ will change the way we consider certain professional claims based on revisions to our medical policy, <em>Bone Mineral Density Studies and Vertebral Fracture Assessment With Densitometry</em>.</p> <p>Access our <a href="https://services3.horizon-bcbsnj.com/hcm/MedPol2.nsf" target="_blank">Medical Policy Manual</a> to review this medical policy content.¹</p> <hr /> <p>Claims submitted for services provided on and after April 29, 2019 to members enrolled in Horizon BCBSNJ Medicare Advantage (MA) plans will be processed as follows.</p> <ul> <li>Regardless of the submitted diagnosis code(s), information will be requested to help us determine the medical appropriateness of the services represented by CPT&reg; code <span class="class-bold">76977</span> or HCPCS code <span class="class-bold">G0130</span>. <p>Following our review of medical record information, the services represented by the codes above may be denied as not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member, based on a national coverage determination or local coverage determination.</p> </li> </ul> <p>Unless Horizon BCBSNJ gives written notice that all or part of the above changes have been cancelled or postponed, the changes will be applied to claims for dates of service on and after April 29, 2019.</p> <p>CPT&reg; is a registered trademark of the American Medical Association.</p> <p>¹ <em>The content of </em><em>Horizon BCBSNJ medical policies that apply to Horizon BCBSNJ MA plans may include reference to pertinent National Coverage Determinations (NCDs) and/or </em><em>Local Coverage Determinations (LCDs). We </em><em>follow Centers for Medicare &amp; Medicaid Services (CMS) guidelines, NCDs and/or LCDs in our processing of claims for services provided to our MA members. For those services where no LCD or NCD exists, claims for MA members are processed based on our policy guidelines.</em></p> </div> Wed, 27 Mar 2019 16:22:43 +0000 horizonbcbsnj 4347 at https://www.horizonblue.com Home Positive Pressure Ventilation in Adults https://www.horizonblue.com/node/4346 <span class="field field--name-title field--type-string field--label-hidden">Home Positive Pressure Ventilation in Adults</span> <span class="field field--name-created field--type-created field--label-hidden">Wed, 03/27/2019 - 12:20</span> <div class="field field--name-field-medical-policy-type field--type-entity-reference field--label-above"> <div class="field__label">Medical policy type</div> <div class="field__item"><a href="/taxonomy/term/49" hreflang="en">Revised</a></div> </div> <div class="field field--name-field-third-party-url field--type-string field--label-above"> <div class="field__label">Third Party URL</div> <div class="field__item">https://services3.horizon-bcbsnj.com/hcm/MedPol2.nsf/MedicalPolicies/RFMI-AARNK7</div> </div> Wed, 27 Mar 2019 16:20:58 +0000 horizonbcbsnj 4346 at https://www.horizonblue.com Ixabepilone (Ixempra) https://www.horizonblue.com/node/4345 <span class="field field--name-title field--type-string field--label-hidden">Ixabepilone (Ixempra)</span> <span class="field field--name-created field--type-created field--label-hidden">Wed, 03/27/2019 - 12:15</span> <div class="field field--name-field-medical-policy-type field--type-entity-reference field--label-above"> <div class="field__label">Medical policy type</div> <div class="field__item"><a href="/taxonomy/term/48" hreflang="en">New</a></div> </div> <div class="field field--name-field-third-party-url field--type-string field--label-above"> <div class="field__label">Third Party URL</div> <div class="field__item">https://services3.horizon-bcbsnj.com/hcm/MedPol2.nsf/MedicalPolicies/SSHH-B9YLC4</div> </div> Wed, 27 Mar 2019 16:15:10 +0000 horizonbcbsnj 4345 at https://www.horizonblue.com Medical Policy Revision: Histone Deacetylase Inhibitor(s) [Romidepsin (Istodax®)] https://www.horizonblue.com/providers/news/news-legal-notices/medical-policy-revision-histone-deacetylase-inhibitor-s-romidepsin-istodax-r <span class="field field--name-title field--type-string field--label-hidden">Medical Policy Revision: Histone Deacetylase Inhibitor(s) [Romidepsin (Istodax®)]</span> <span class="field field--name-created field--type-created field--label-hidden">Mon, 03/25/2019 - 15:11</span> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Effective <span class="class-bold">June 24, 2019</span>, Horizon BCBSNJ will change the way we consider certain professional claims based on revisions to our medical policy, <em>Histone Deacetylase Inhibitor(s) [Romidepsin (Istodax®)]</em>.</p> <p>Access our <a href="https://services3.horizon-bcbsnj.com/hcm/MedPol2.nsf" target="_blank">Medical Policy Manual</a> to review this medical policy content.¹</p> <hr /> <p>Claims submitted for services provided on and after June 24, 2019 to patients enrolled in Horizon BCBSNJ commercial, Administrative Services Only (ASO) or Medicare Advantage (MA) plans will be processed as follows.</p> <p>For services provided to patients 18 years of age or older:</p> <ul> <li>Based on the submitted diagnosis code(s), information may be requested to help us determine the medical appropriateness of the administration of drugs represented by HCPCS code <span class="class-bold">J9315</span>. Following our review of medical record information, the code above may be denied as an experimental/investigational, non-covered service.</li> </ul> <p>For services provided to patients under 18 years of age:</p> <ul> <li>Regardless of the submitted diagnosis code(s), the administration of drugs represented by HCPCS code <span class="class-bold">J9315</span> will be denied as an experimental/investigational, non-covered service.</li> </ul> <p>Unless Horizon BCBSNJ gives written notice that all or part of the above changes have been canceled or postponed, the changes will be applied to claims for dates of service on and after June 24, 2019.</p> <p>¹ <em>The content of </em><em>Horizon BCBSNJ medical policies that apply to Horizon BCBSNJ MA plans may include reference to pertinent National Coverage Determinations (NCDs) and/or </em><em>Local Coverage Determinations (LCDs). We </em><em>follow Centers for Medicare &amp; Medicaid Services (CMS) guidelines, NCDs and/or LCDs in our processing of claims for services provided to our MA members. For those services where no LCD or NCD exists, claims for MA members will be processed based on our policy guidelines.</em></p> </div> Mon, 25 Mar 2019 19:11:09 +0000 horizonbcbsnj 4344 at https://www.horizonblue.com Balloon Dilation of the Eustachian Tube https://www.horizonblue.com/node/4343 <span class="field field--name-title field--type-string field--label-hidden">Balloon Dilation of the Eustachian Tube</span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 03/22/2019 - 14:30</span> <div class="field field--name-field-medical-policy-type field--type-entity-reference field--label-above"> <div class="field__label">Medical policy type</div> <div class="field__item"><a href="/taxonomy/term/48" hreflang="en">New</a></div> </div> <div class="field field--name-field-third-party-url field--type-string field--label-above"> <div class="field__label">Third Party URL</div> <div class="field__item">https://services3.horizon-bcbsnj.com/hcm/MedPol2.nsf/MedicalPolicies/RFMI-AWMJ9M</div> </div> Fri, 22 Mar 2019 18:30:52 +0000 horizonbcbsnj 4343 at https://www.horizonblue.com Genetic Testing for Inherited Thrombophilias https://www.horizonblue.com/node/4342 <span class="field field--name-title field--type-string field--label-hidden">Genetic Testing for Inherited Thrombophilias</span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 03/22/2019 - 14:26</span> <div class="field field--name-field-medical-policy-type field--type-entity-reference field--label-above"> <div class="field__label">Medical policy type</div> <div class="field__item"><a href="/taxonomy/term/49" hreflang="en">Revised</a></div> </div> <div class="field field--name-field-third-party-url field--type-string field--label-above"> <div class="field__label">Third Party URL</div> <div class="field__item">https://services3.horizon-bcbsnj.com/hcm/MedPol2.nsf/MedicalPolicies/RFMI-8EUH8P</div> </div> Fri, 22 Mar 2019 18:26:28 +0000 horizonbcbsnj 4342 at https://www.horizonblue.com Histone Deacetylase Inhibitor(s) [Romidepsin (Istodax®)] https://www.horizonblue.com/node/4341 <span class="field field--name-title field--type-string field--label-hidden">Histone Deacetylase Inhibitor(s) [Romidepsin (Istodax®)]</span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 03/22/2019 - 14:22</span> <div class="field field--name-field-medical-policy-type field--type-entity-reference field--label-above"> <div class="field__label">Medical policy type</div> <div class="field__item"><a href="/taxonomy/term/49" hreflang="en">Revised</a></div> </div> <div class="field field--name-field-third-party-url field--type-string field--label-above"> <div class="field__label">Third Party URL</div> <div class="field__item">https://services3.horizon-bcbsnj.com/hcm/MedPol2.nsf/MedicalPolicies/KKPR-7FHTFB</div> </div> Fri, 22 Mar 2019 18:22:58 +0000 horizonbcbsnj 4341 at https://www.horizonblue.com Medical Policy Implementation: Balloon Dilation of the Eustachian Tube https://www.horizonblue.com/providers/news/news-legal-notices/medical-policy-implementation-balloon-dilation-of-eustachian-tube <span class="field field--name-title field--type-string field--label-hidden">Medical Policy Implementation: Balloon Dilation of the Eustachian Tube</span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 03/22/2019 - 13:34</span> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Effective <span class="class-bold">April 22, 2019</span>, Horizon BCBSNJ will implement a new medical policy, <em>Balloon Dilation of the Eustachian Tube</em>. We encourage you to access our <a href="https://services3.horizon-bcbsnj.com/hcm/MedPol2.nsf" target="_blank">Medical Policy Manual</a> to review this medical policy content.¹</p> <p>This policy’s criteria and guidelines address our position on balloon dilation of the eustachian tube for the treatment of members with chronic eustachian tube dilatory dysfunction.</p> <p>The implementation of this policy will not result in a material adverse change to how we currently process claims for services provided to your patients enrolled in Horizon BCBSNJ commercial, Administrative Services Only (ASO) or Medicare Advantage (MA) plans.</p> <p>¹ <em>The content of </em><em>Horizon BCBSNJ medical policies that apply to Horizon BCBSNJ MA plans may include reference to pertinent National Coverage Determinations (NCDs) and/or </em><em>Local Coverage Determinations (LCDs). We </em><em>follow Centers for Medicare &amp; Medicaid Services (CMS) guidelines, NCDs and/or LCDs in our processing of claims for services provided to our MA members. For those services where no LCD or NCD exists, claims for MA members will be processed based on our policy guidelines.</em></p> </div> Fri, 22 Mar 2019 17:34:07 +0000 horizonbcbsnj 4340 at https://www.horizonblue.com Medical Policy Revision: Genetic Testing for Inherited Thrombophilias https://www.horizonblue.com/providers/news/news-legal-notices/medical-policy-revision-genetic-testing-for-inherited-thrombophilias <span class="field field--name-title field--type-string field--label-hidden">Medical Policy Revision: Genetic Testing for Inherited Thrombophilias</span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 03/22/2019 - 13:29</span> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Effective <span class="class-bold">April 22, 2019</span>, Horizon BCBSNJ will revise the criteria and guidelines of our medical policy, <em>Genetic Testing for Inherited Thrombophilias</em>. We encourage you to access our <u><a href="https://services3.horizon-bcbsnj.com/hcm/MedPol2.nsf" target="_blank">Medical Policy Manual</a></u> to review this medical policy content.¹</p> <p>The revisions to be implemented include a change in our position on MTHFR variant analysis as well as changes to the medically necessary indications related to Factor II/Prothrombin testing and Factor V Leiden testing.</p> <p>This policy revision will not result in any material adverse change to how we currently process claims for services provided to your patients enrolled in Horizon BCBSNJ commercial, Administrative Services Only (ASO) or Medicare Advantage (MA) plans.</p> <p>¹ <em>The content of </em><em>Horizon BCBSNJ medical policies that apply to Horizon BCBSNJ MA plans may include reference to pertinent National Coverage Determinations (NCDs) and/or </em><em>Local Coverage Determinations (LCDs). We </em><em>follow Centers for Medicare &amp; Medicaid Services (CMS) guidelines, NCDs and/or LCDs in our processing of claims for services provided to our MA members. For those services where no LCD or NCD exists, claims for MA members will be processed based on our policy guidelines.</em></p> </div> Fri, 22 Mar 2019 17:29:51 +0000 horizonbcbsnj 4339 at https://www.horizonblue.com Medical Policy Revision: Bio-Engineered Skin and Soft Tissue Substitutes https://www.horizonblue.com/providers/news/news-legal-notices/medical-policy-revision-bio-engineered-skin-and-soft-tissue-substitutes-1 <span class="field field--name-title field--type-string field--label-hidden">Medical Policy Revision: Bio-Engineered Skin and Soft Tissue Substitutes</span> <span class="field field--name-created field--type-created field--label-hidden">Thu, 03/14/2019 - 09:46</span> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Effective <span class="class-bold">June 14, 2019</span>, Horizon BCBSNJ will change the way we consider certain professional claims based on revisions to our medical policy, <em>Bio-Engineered Skin and Soft Tissue Substitutes</em>.</p> <p>Access our <a href="https://services3.horizon-bcbsnj.com/hcm/MedPol2.nsf" target="_blank">Medical Policy Manual</a> to review this medical policy content.</p> <hr /> <p>Claims submitted for services provided on and after June 14, 2019 will be processed as follows:</p> <ul> <li>Regardless of the submitted diagnosis code(s), information will be requested to help us determine the medical appropriateness of the injectables or skin substitutes represented by the submission of HCPCS codes <span class="class-bold">Q4103</span> or <span class="class-bold">Q4104</span> on claims for services provide to patients enrolled in Horizon BCBSNJ commercial or Administrative Services Only plans.<br /> <br /> Following our review of medical record information, the codes above may be denied as experimental/investigational, noncovered services.</li> </ul> <p>Unless Horizon BCBSNJ gives written notice that all or part of the above changes have been cancelled or postponed, the changes will be applied to claims on and after June 14, 2019.</p> </div> Thu, 14 Mar 2019 13:46:59 +0000 horizonbcbsnj 4338 at https://www.horizonblue.com Medical Policy Revision: Capsaicin 8% patch (Qutenza) https://www.horizonblue.com/providers/news/news-legal-notices/medical-policy-revision-capsaicin-8-patch-qutenza <span class="field field--name-title field--type-string field--label-hidden">Medical Policy Revision: Capsaicin 8% patch (Qutenza)</span> <span class="field field--name-created field--type-created field--label-hidden">Thu, 03/14/2019 - 09:39</span> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Effective <span class="class-bold">June 14, 2019</span>, Horizon BCBSNJ will change the way we consider certain professional claims based on revisions to our medical policy,<em> </em><em>Capsaicin 8% patch (Qutenza)</em>.</p> <p>Access our <a href="https://services3.horizon-bcbsnj.com/hcm/MedPol2.nsf" target="_blank">Medical Policy Manual</a> to review this medical policy content.¹</p> <hr /> <p>Claims submitted for services provided on and after June 14, 2019 to patients enrolled in Horizon BCBSNJ commercial, Administrative Services Only (ASO) or Medicare Advantage (MA) plans will be processed as follows.</p> <p><span class="class-bold">For services provided to patients age 18 years and older:</span></p> <ul> <li>Based on the submitted diagnosis code(s), information may be requested to help us determine the medical appropriateness of the services represented by the HCPCS code <span class="class-bold">J7336</span>. Following our review of medical record information, the code above may be denied as not medically necessary.</li> <li>Based on the submitted diagnosis code(s), the services represented by HCPCS code <span class="class-bold">J7336</span> may be denied as experimental/investigational, non-covered services.</li> </ul> <p><span class="class-bold">For services provided to patients under 18 years of age:</span></p> <ul> <li>Regardless of the submitted diagnosis code(s), the service represented by HCPCS code <span class="class-bold">J7336</span> will be denied as an experimental/investigational, non-covered service.</li> </ul> <p>Unless Horizon BCBSNJ gives written notice that all or part of the above changes have been canceled or postponed, the changes will be applied to claims for dates of service on and after June 14, 2019.</p> <p><em>CPT® is a registered mark of the American Medical Association.</em></p> <p>¹ <em>The content of </em><em>Horizon BCBSNJ medical policies that apply to Horizon BCBSNJ MA plans may include reference to pertinent National Coverage Determinations (NCDs) and/or </em><em>Local Coverage Determinations (LCDs). We </em><em>follow Centers for Medicare &amp; Medicaid Services (CMS) guidelines, NCDs and/or LCDs in our processing of claims for services provided to our MA members. For those services where no LCD or NCD exists, claims for MA members will be processed based on our policy guidelines.</em></p> </div> Thu, 14 Mar 2019 13:39:00 +0000 horizonbcbsnj 4337 at https://www.horizonblue.com Capsaicin 8% patch (Qutenza) https://www.horizonblue.com/node/4334 <span class="field field--name-title field--type-string field--label-hidden">Capsaicin 8% patch (Qutenza)</span> <span class="field field--name-created field--type-created field--label-hidden">Wed, 03/13/2019 - 16:04</span> <div class="field field--name-field-medical-policy-type field--type-entity-reference field--label-above"> <div class="field__label">Medical policy type</div> <div class="field__item"><a href="/taxonomy/term/49" hreflang="en">Revised</a></div> </div> <div class="field field--name-field-third-party-url field--type-string field--label-above"> <div class="field__label">Third Party URL</div> <div class="field__item">https://services3.horizon-bcbsnj.com/hcm/MedPol2.nsf/MedicalPolicies/KKPR-883KKV</div> </div> Wed, 13 Mar 2019 20:04:50 +0000 horizonbcbsnj 4334 at https://www.horizonblue.com Bioengineered Skin and Soft Tissue Substitutes https://www.horizonblue.com/node/4333 <span class="field field--name-title field--type-string field--label-hidden">Bioengineered Skin and Soft Tissue Substitutes</span> <span class="field field--name-created field--type-created field--label-hidden">Wed, 03/13/2019 - 16:00</span> <div class="field field--name-field-medical-policy-type field--type-entity-reference field--label-above"> <div class="field__label">Medical policy type</div> <div class="field__item"><a href="/taxonomy/term/49" hreflang="en">Revised</a></div> </div> <div class="field field--name-field-third-party-url field--type-string field--label-above"> <div class="field__label">Third Party URL</div> <div class="field__item">https://services3.horizon-bcbsnj.com/hcm/MedPol2.nsf/MedicalPolicies/RFMI-9TFMS4</div> </div> Wed, 13 Mar 2019 20:00:14 +0000 horizonbcbsnj 4333 at https://www.horizonblue.com Blue Review March 2019 https://www.horizonblue.com/providers/resources/newsletters/blue-review-march-2019 <span class="field field--name-title field--type-string field--label-hidden">Blue Review March 2019</span> <span class="field field--name-created field--type-created field--label-hidden">Wed, 03/13/2019 - 02:55</span> <div class="field field--name-field-attachment field--type-file field--label-hidden field__items"> <div class="field__item"> <div class='col-md-12 col-sm-12 pdfform'><h2 style="text-indent:-4px"><a style="float: left; margin: 0px 15px 15px 0px;" href="/sites/default/files/2019-03/blue-review-march-2019.pdf" ><img style="margin:10px;align:left" src="/themes/bootstrap_business/images/pdf.png"></a> &nbsp;<a href="/sites/default/files/2019-03/blue-review-march-2019.pdf" >blue-review-march-2019.pdf</a></h2> </div> </div> </div> Wed, 13 Mar 2019 06:55:31 +0000 horizonbcbsnj 4332 at https://www.horizonblue.com