![]() To find an in-network doctor near you, use our Doctor & Hospital Finder or the Horizon Blue app. If you have BlueCard, you can see doctors and other health care professionals throughout the country. Horizon Blue Cross Blue Shield of New Jersey - Horizon NJ Health has a Medicare. Our plans let you see thousands of doctors and other health professionals across New Jersey and in Pennsylvania, Delaware and New York. The Braven Health℠ name and symbols are service marks of Braven Health. FirstMedicare Direct Florida Blue Florida Blue HMO Florida Complete Care. All providers that previously used TriZetto to directly enter their Horizon NJ Health claims must switch to DDE SimpleClaim. Direct Data Entry (DDE) SimpleClaim system. ![]() The Horizon® name and symbols are registered marks of Horizon Blue Cross Blue Shield of New Jersey. NJ DIRECT For active Employees hired prior to 7/1/20. 2023 Horizon Blue Cross Blue Shield of New Jersey, Three Penn Plaza East, Newark, New Jersey 07105. Horizon NJ Health ClaimsProvider Services Line 1-80 Horizon NJ Health Provider Resources Website. The Blue Cross® and Blue Shield® name and symbols are registered marks of the Blue Cross Blue Shield Association. Communications may be issued by Horizon Blue Cross Blue Shield of New Jersey in its capacity as administrator of programs and provider relations for all its companies. Products and services are provided by Horizon Blue Cross Blue Shield of New Jersey, Horizon Insurance Company, Horizon Healthcare of New Jersey, Braven Health, and/or Horizon Healthcare Dental, Inc., each an independent licensee of the Blue Cross Blue Shield Association. For members enrolled in Medicaid and NJ Famil圜are plans, Horizon BCBSNJ applies the above medical policy. Use this cover sheet when uploading clinical/medical record information through Horizon BCBSNJ’s online utilization management tool to support an Authorization request. To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ. Horizon Direct 10 Horizon Direct 15 A NEW PLAN, the Horizon NJ Educators Health Plan (NJEHP) Another new plan, the Garden State Health Plan (GSHP), will be developed and will be available July 1, 2021. This policy is not intended to direct the course. Clinical Information Cover Sheet Authorization Request. This website does not display all Qualified Health Plans available through Get Covered NJ. This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey’s Health Insurance Marketplace.
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