eviCore healthcare

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

Actived: 3 days ago

URL: horizonnjhealth.com

Prior Authorization Procedure Search Tool Now

The information provided by this tool is not intended to replace or modify the terms, conditions limitations and exclusions contained within health benefit plans issued or …

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Helping Patients Understand Their Care

What you can do: Create a safe environment where patients feel comfortable talking openly with you. Encourage patients to bring a friend or relative to appointments for support. Sit down to …

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Pre-Payment Coding Reviews Documentation Requests

Policy: Horizon NJ Health or its designee may conduct a pre-payment coding validation review of services provided to our members. Horizon NJ Health or its designee may request medical …

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Behavioral Health Benefits Grid

Horizon NJ Health covers a number of behavioral health benefits. Behavioral health includes both mental health services and Substance Use Disorder treatment services. Some services …

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Products and services are provided by Horizon Blue Cross Blue Shield of New Jersey, Horizon Insurance Company, Horizon Healthcare of New Jersey, and/or Horizon Healthcare Dental, …

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Federally Qualified Health Center (FQHC)

Credentialing. Dental health care providers are required to create an application at https://proview.caqh.org If you have any questions about credentialing please call 1-855-812 …

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Federally Qualified Health Center (FQHC) Resource Guide

PO Box 24078. Newark, NJ 07101-0406. These claims should not be submitted through the appeals process. A Horizon NJ Health appeal resolution analyst will review all claim appeals. …

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Doula Services Practitioners

If your professional group practice wishes to participate in the Horizon NJ Health networks under a Group Agreement, please call 1-800-682-9091. For behavioral health professional group …

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Doctor accepting Horizon NJ Health in NJ & PA

Doctor accepting Horizon NJ Health in NJ & PA - Find Horizon NJ Health Doctors - Horizon NJ Health Chat with a nurse 24/7: Connect with a registered nurse or doctor HorizonBlue.pager.com opens a dialog window ‌ , if needed, at no cost about COVID-19 or other health concerns.

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For questions about Behavioral Health claim submissions, please call 1-800-682-9091. PRIOR AUTHORIZATION To confirm Horizon NJ Health’s receipt of a Prior Authorization request, …

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