Horizonnjhealth.com

Finding and Visiting a Doctor

WEBTo know if a doctor or dentist is part of Horizon NJ Health’s network, check our Provider Directory or call Member Services toll free at 1-800-682-9090 Call: 1-800-682-9090 (TTY/TDD 711). Our Provider Directory lists all Horizon NJ Health physicians, dentists, hospitals and specialists. Read more.

Actived: 7 days ago

URL: https://www.horizonnjhealth.com/taxonomy/term/6#:~:text=To know if a doctor or dentist is part of

Member Rights and Responsibilities

WEBThis includes the right to: Get timely notice of changes to your benefits or the status of your doctor. Get information about Horizon NJ Health’s services, doctors and providers. Offer suggestions for changes in policies, procedures and services. This can include your own rights and responsibilities.

Category:  Health Go Health

Coverage for antibody infusion therapy

WEBAt Horizon, we want our members to get the care they need, when they need it. Throughout the COVID-19 public health emergency, we have taken comprehensive steps to make it easier for our members to get critical medical and behavioral health services by waiving their out-of-pocket costs , and by providing significant financial support for hospitals, …

Category:  Medical Go Health

QUICK REFERENCE GUIDE

WEBBehavioral Health Services. [email protected] Facility When a resident that is auto-assigned or self-selected the MCO and needs a NJ Choi. Assessment performed: 1-844-444-4410 For assistance with claims, eligibili. and enrollment issues: 1-855-777-0123 For assistance with Nursing Facility provider con.

Category:  Health Go Health

Finding a Doctor or Dentist

WEBHorizon NJ Health has a large network of doctors and health care professionals who provide quality health care services. We have a Provider Directory that shows you who participates in our network. All types of providers are listed, including doctors, hospitals, laboratory services, pharmacies, general dentists, dental specialists and more.

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 can also be requested by filling out the appropriate authorization form below and faxing to the noted number.

Category:  Health Go Health

Behavioral Health Fee Schedule Update Effective March 1, 2024

WEBMar 1, 2024 — Horizon NJ Health is updating our fee schedule for behavioral health services to more closely align with the Behavioral Health Rate Increase announced in the Division of Medical Assistance & Health Services’ (DMAHS) Medicaid Alert, dated August 2023 and the rate and code information accessible through NJMMIS. For any services where our …

Category:  Medical Go Health

Inpatient Readmission

WEBReimbursement Policy: Inpatient Readmission Effective Date: December 2, 2024 Revision Date: N/A Policy Last Review Date: August 22, 2024 Purpose: To provide guidance on the reimbursement of inpatient readmissions for Horizon NJ Health. This policy applies to all Acute Care Facility participating providers within the Horizon NJ Health network.

Category:  Health Go Health

Horizon NJ Health Directory of Dentists Treating Children …

WEBNotice of Nondiscrimination Horizon NJ Health complies with applicable Federal civil rights laws and does not discriminate against nor does it

Category:  Health Go Health

Member Eligibility

WEBThere are several ways to determine a member’s eligibility for benefits: Verify on Availity Essentials™.. Review your monthly member panel listing. Call Provider Services at 1-800-682-9091, weekdays, from 8 a.m. to 5 p.m., Eastern Time. A physical member ID card is not a guarantee of member eligibility. Always confirm enrollment before providing services.

Category:  Health Go Health

Durable Medical Equipment (DME) and Medical

WEBMar 26, 1997 — UTILIZATION MANAGEMENT POLICY Durable Medical Equipment (DME) and Medical Supplies, Orthotics, and Prosthetics EFFECTIVE DATE March 26, 1997 LAST REVIEWED DATE August 14, 2024 PURPOSE Define the level of benefits and process to access DME, Medical Supplies, Orthotics and Prosthetics. SCOPE AND …

Category:  Medical Go Health

Chiropractic Services

WEBFeb 5, 1996 — Horizon NJ Health (HNJH) will approve chiropractic visits if all the information listed below is received, complete and supports medical necessity. The chiropractor is given an authorization number, which includes the approved number of visits per the chiropractor's request with a maximum amount of twelve (12).

Category:  Medical Go Health

Doctor accepting in NJ & PA

WEBChat 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. 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.

Category:  Health Go Health

Horizon NJ Health Electronic Data Interchange (EDI)

WEBIf you have questions, please contact the EDI Service Desk by emailing [email protected] or calling 1-888-334-9242 on weekdays, between 8 a.m. and 5 p.m., Eastern Time. To submit claims and receive reimbursements for Horizon NJ Health members, we encourage providers, vendors and clearinghouses to …

Category:  Health Go Health

Doctor accepting Horizon NJ Health in NJ & PA with …

WEBImportant Information for Members. If you are not enrolled with DDD, MLTSS or FIDE-SNP, you should call your local Medical Assistance Customer Center (MACC) for mental health services.

Category:  Mental health,  Medical Go Health

The NJFC Directory of Dentists Treating Children under the Age of …

WEBRutgers University Dental Associates New Brunswick 135 Somerset St Ste A New Brunswick NJ 08901 7322355050 7322200045 [email protected] YES YES. Rutgers Robert Wood Johnson Eric B. Chandler Health Ctr 277 George St New Brunswick NJ 08901 7322356700 7322356726 [email protected] YES YES.

Category:  Health Go Health

Horizon NJ Health Pediatric Dentist Directory

WEBState Zip: Telephone Fax: Location Email Address Age 0-3: Age 3-6 Richland Creek Dental 1105 Kaighns Ave: Camden NJ: 08103 8563658613: 8563658575 [email protected]

Category:  Health Go Health