Horizon Health Nj Guidelines

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Clinical Guidelines - Horizon NJ Health

(Just Now) 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 at 1-800-682-9094 ext. 89469. This content was last revised on March 18, 2024 and may be …

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

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Policies, Procedures and General Guidelines - Horizon

(Just Now) WebPatients enrolled in any Horizon plan who have secondary coverage through Horizon NJ Health (New Jersey Medicaid benefits) are not responsible, and should not …

https://www.horizonblue.com/providers/resources/working-us-information-education-resources/manuals-user-guides/ancillary-manual/policies-procedures-and-general-guidelines

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Medical Policy Update: Supplemental List of - Horizon NJ Health

(6 days ago) WebAntineoplaston Therapy. Treatment 070. Computerized 2-Lead Resting Electrocardiogram Analysis for the Diagnosis of Coronary Artery Disease. Medicine 065. …

https://www.horizonnjhealth.com/for-providers/news/updates-and-announcements/medical-policy-update-supplemental-list

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Taking Care of Yourself - Horizon Blue Cross Blue Shield …

(3 days ago) WebPreventive MediWellslines Horizon BCBSNJ wants to help you achieve your best health. Talk with your PCP about which screenings and immunizations are right for you. …

https://www.horizonblue.com/members/education-center/understanding-your-coverage/understanding-your-hmo-plan/your-coverage/taking-care-yourself

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Policies, Procedures and General Guidelines - Horizon …

(5 days ago) WebAll treatment records, bills and claim forms shall accurately reflect the treatment or services rendered. Treatment records shall be maintained for a period of …

https://www.horizonblue.com/providers/resources/working-us-information-education-resources/manuals-user-guides/horizon-hospital-network-manual/policies-procedures-and-general-guidelines

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Reimbursement Policies & Guidelines - Horizon BCBSNJ

(Just Now) WebThis website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey’s Health Insurance Marketplace. This website does not …

https://www.horizonblue.com/providers/policies-procedures/policies/reimbursement-policies-guidelines

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Advance Care Planning - Horizon NJ Health

(3 days ago) WebEffective Date: March 1, 2020 Last Revised: February 28, 2021 Purpose: This policy provides guidelines for reimbursement of advance care planning. Scope: Products …

https://horizonnjhealthstaging.com/for-providers/resources/policies/reimbursement-policies-guidelines/advance-care-planning

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Horizon NJ Health - Horizon BCBSNJ

(6 days ago) WebHorizon NJ Health’s Policies do not constitute medical or dental advice, authorization, certification, approval, explanation of benefits, offer of coverage, contract or guarantee of …

https://services3.horizon-bcbsnj.com/ddn/NJhealthWeb.nsf

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Urgent Care Center Billing Requirements - Horizon NJ Health

(8 days ago) WebEffective Date: January 1, 2022 Purpose: To provide guidelines for the billing and reimbursement of services rendered in Horizon contracted Urgent Care Centers. Scope: …

https://horizonnjhealthstaging.com/for-providers/resources/policies/reimbursement-policies-guidelines/urgent-care-center-billing

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Allergy Services - Horizon NJ Health

(2 days ago) WebHorizon NJ Health shall limit CPT code 95165 in the initial rolling calendar year to one hundred and twenty (120) units. (Days 1-365). Horizon NJ Health shall limit …

https://www.horizonnjhealthstaging.com/for-providers/resources/policies/reimbursement-policies-guidelines/allergy-services

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Programs Available to You - Horizon Blue Cross Blue Shield of …

(4 days ago) WebMembers. 1-800-365-2223. (TTY call 711) Help is available from. 8 a.m to 8 p.m ET every day. Y0090_Web2024RN_M Last Updated 01/01/2024. Horizon Insurance …

https://medicare.horizonblue.com/members/horizon-nj-totalcare-hmo-d-snp/programs-available-you

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Transitional Care Planning - Horizon NJ Health

(8 days ago) WebThis policy provides guidelines for reimbursement and appropriate billing of transitional care planning. Scope: Products included: Horizon NJ Health shall …

https://horizonnjhealthstaging.com/for-providers/resources/policies/reimbursement-policies-guidelines/transitional-care-planning

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Medical policies and prior authorizations - Horizon - Horizon …

(4 days ago) WebHorizon BCBSNJ’s medical policy follows established clinical and preventive guidelines, so when you need care, you have access to the most appropriate options. Our medical …

https://www.horizonblue.com/members/education-center/medical-policies-and-prior-authorizations

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NJ DIRECT - SHBP/SEHBP - Horizon BCBSNJ

(6 days ago) WebNJ DIRECT HDLow and NJ DIRECT HDHigh are High Deductible Health Plans (HDHPs) that combine a high deductible health plan with a health savings account (HSA). Eligible …

https://www.horizonblue.com/shbp/plans/medical-plans/local-government-employee-plans/nj-direct-2

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Clinical and Preventive Guidelines and Policies - Horizon NJ Health

(2 days ago) WebeviCore Healthcare (eviCore) provides outpatient imaging management services for Horizon NJ Health. eviCore radiation oncology policies have been adopted for Horizon NJ …

https://www.horizonnjhealth.com/for-providers/resources/policies/clinical-and-preventive-guidelines-and-policies

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Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ)

(8 days ago) WebTo see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ. Products and services are provided by Horizon Blue …

https://www.horizonblue.com/

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<Practitioner’s Name> has chosen to leave your Horizon …

(7 days ago) Websimilar practices in New Jersey. We understand the stress that this may cause, but it’s not fair for you to pay more for your health care when providers are unwilling to negotiate a …

https://www.nj.gov/treasury/pensions/documents/pdf/ECN00X%20bcbsnj%20Advocare%20SHBP%20_Final.pdf

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Pea-sized hail expected with thunderstorms to hit Passaic and

(2 days ago) WebA report was issued from the National Weather Service on Tuesday at 9:29 p.m. for strong thunderstorms until 10 p.m. for Passaic and Bergen counties. Expect pea-sized hail (0.25 …

https://www.nj.com/weather-alerts/2024/05/pea-sized-hail-expected-with-thunderstorms-to-hit-passaic-and-bergen-counties-tuesday.html

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Our Health Plans Are Leaving NaviNet® on May 31 - Horizon NJ …

(1 days ago) WebAvaility Essentials™ is now the provider portal for Horizon Blue Cross Blue Shield of New Jersey, Braven Health, and Horizon NJ Health transactions, such as …

https://www.horizonnjhealth.com/for-providers/news/updates-and-announcements/our-health-plans-are-leaving-navinetr-may-31

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What the New Overtime Rule Means for Workers

(6 days ago) WebThe Department of Labor’s new overtime regulation is restoring and extending this promise for millions more lower-paid salaried workers in the U.S.

https://blog.dol.gov/2024/04/23/what-the-new-overtime-rule-means-for-workers

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Quarterly Claim Editing Update: Second Quarter 2024 - Horizon …

(2 days ago) WebWe are updating our claim editing rules and processes for the second quarter of 2024 as noted below. On March 1, 2024, we implemented claim editing updates based …

https://www.horizonblue.com/providers/news/news-legal-notices/quarterly-claim-editing-update-second-quarter-2024

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