Horizonnjhealthstaging.com

Clinical Guidelines

WEBMembers and providers can obtain a copy of the benefit provision, guideline, protocol or other criteria on which decisions are based at no cost by contacting Horizon NJ Health …

Actived: 7 days ago

URL: https://www.horizonnjhealthstaging.com/for-providers/resources/clinical-and-preventive-guidelines/clinical-guidelines

Digital Member ID Cards

WEBYour staff may be in the habit of asking for a physical member ID card to make copies or verify benefit and cost share information. But if your Horizon NJ Health members …

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eviCore healthcare

WEBHorizon NJ Health partners with eviCore healthcare (eviCore) to manage Advanced Imaging Services for our members through Prior Authorizations/Medical Necessity …

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Availity Essentials™ Is Your New Provider Portal

WEBAfter May 31, 2024, you’ll no longer be able to use NaviNet for Horizon, Braven Health or Horizon NJ Health plans. Register and begin using Availity Essentials …

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Pharmacy Medical Necessity Determination

WEBTo obtain prior authorization, or for printed copies of any pharmaceutical management procedure, please call our Pharmacy Department at 1-800-682-9094. Prior authorization …

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Horizon Behavioral Health Program

WEBThe Horizon Behavioral Health℠ program supports our members in getting access to safe and effective mental health and Substance Use Disorder care. The program ensures …

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Horizon NJ Health

WEBContacts for MLTSS Services Behavioral Health Services • Horizon Behavioral Health: 1-855-777-0123, or [email protected] Nursing Facility • When a …

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Medicaid Provider Enrollment Requirements by State

WEBa {word-wrap:break-word !important;} span {word-wrap:break-word !important;} The following information includes state-specific provider enrollment requirements for states …

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Tip Sheet – Documentation of Medical Care

WEBInformation about Change Healthcare's Security Incident. Change Healthcare, a vendor that connects payers, providers and patients within the U.S health care system, is …

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Federally Qualified Health Center (FQHC) Resource Guide

WEBTo file a claim appeal, a physician or health care professional must send the appeal application form and any supporting documentation to Horizon NJ Health using one of …

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Radiation Therapy

WEB77423. High energy neutron radiation treatment delivery; 1 or more isocenter (s) with coplanar or non-coplanar geometry with blocking and/or wedge, and/or compensator (s) …

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Change Healthcare Clarification

WEBLast updated on: April 4, 2024, 12:25 PM ET. We want to clarify a recent communication from Optum Health, which previously acquired Change Healthcare, related to an “Active …

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Information about Change Healthcare's Security Incident

WEBPayments for Horizon NJ Health and Horizon NJ TotalCare (HMO D-SNP) claims have been impacted by the recent Change Healthcare cyber security …

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Horizon Pulse November 2023

WEBPromoting Quick Access to Care in Primary Care Medicine. Healthy Conversations for Your Patients to Get and Stay Well. Care Coordination in Primary Care for Better Health …

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Payments Impacted by Change Healthcare Issue

WEBPayments for Horizon NJ Health and Horizon NJ TotalCare (HMO D-SNP) claims have been impacted by the recent Change Healthcare cyber security …

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Timely Filing Requirements

WEBHorizon NJ Health. Claims Services. PO Box 24077. Newark, NJ 07101-0406. If you have any questions, please call Provider Services at 1-800-862-9091, weekdays, from 8 a.m. …

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