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

eviCore healthcare

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

Category: Medical Go Health

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 …

Category: Health Go Health

Tip Sheet – Documentation of Medical Care

WebFind tips on lead screening and a Well-Being Screening Tool you can use. We periodically review a sampling of medical records from randomly selected physician offices. This tip …

Category: Medical Go Health

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 where …

Category: Health Go Health

Transitional Care Planning

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

Category: Health Go Health

Updates and Announcements

WebToggle menu. BACK back to www.horizonblue.com; PROVIDERS ; COVID-19 Information COVID-19 Information. COVID-19 Information ; Coverage for Out-of …

Category: Health Go Health

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 …

Category: Health Go Health

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 …

Category: Health Go Health

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 …

Category: Medicine Go Health

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 …

Category: Health Go Health

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) …

Category: Health Go Health

Medical Policy Revision: Applied Behavior Analysis in the …

WebEffective July 3, 2023, we will revise our Applied Behavior Analysis in the Treatment of Autism Spectrum Disorders (ASD) medical policy.. These revisions - designed to help …

Category: Medical Go Health

Horizon Pulse March 2024 Newsletter

WebToggle menu. BACK back to www.horizonblue.com; PROVIDERS ; COVID-19 Information COVID-19 Information. COVID-19 Information ; Coverage for Out-of-Network COVID-19 …

Category: Health Go Health