Horizon NJ Health Claims Address

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Horizon NJ Health Claims Address

Horizon NJ Health Claims Address is, Paper Claim Submissions: Horizon NJ Health, Claims Processing Department, PO Box 24078, Newark, NJ 07101-0406.

  • Member/Provider Correspondence: Horizon NJ Health, Member/Provider Correspondence, PO Box 24077, Newark, NJ 07101-0406

Horizon NJ Health Appeals Addresses

Utilization Management Decisions Appeals should be submitted to: Horizon NJ Health, Attn: UM Appeals, PO Box 10194, Newark, NJ 07101

Claim appeals may be submitted by:

  •  Fax: 973-522-4678
  •  Mail: Horizon NJ Health, Claim Appeals, P.O. Box 63000,  Newark, NJ 07101-8064

Should you have questions regarding billing or appeals, please contact the Physician and Health Care Hotline at 1-800-682-9091 and/or your Professional Relations Representative.

Horizon NJ Health Member Services

Someone is available 24 hours a day, seven days a week to help you, please call: 1-800-682-9090 (TTY 711)

Horizon NJ Health Enrollment Hotline

For information on enrollment, please call: 1-800-637-2997

 Horizon NJ Health Care / Case Manager

To speak with a Horizon NJ Health Care/Case Manager or learn about a Disease Management Program, please call: 1-800-682-9094

TDD / TTY Services

People with hearing or speech difficulties, please call: 1-800-682-9090 (TTY 711)

 New Jersey State Health Benefits Coordinator (HBC)

For questions about the status of your application, please call: 1-800-701-0710/ 1-800-701-0720

Horizon NJ Health Fraud, Waste and Abuse Hotline

‌If you or someone you know is aware of health care fraud and abuse, you should immediately report it to Horizon NJ Health’s Fraud Hotline at 1-855-FRAUD20 (1-855-372-8320).

Claim Overpayment Address (Horizon-identified Overpayments)

If you receive a refund request letter, it will include instructions to mail the overpayment, along with a copy the letter, to: Horizon NJ Health, Member/Provider Correspondence, PO Box 24077, Newark, NJ 07101-0406

Returning Other Horizon Overpayments

For overpayments made on claims, Mail overpayments to:

  • Horizon BCBSNJ commercial & ASO members: Horizon BCBSNJ, PO BOX 11596, Newark, NJ 07193-1595
  • Federal Employee Program (FEP) members: Horizon FEP, PO Box 11594, New York, NY 10087-1594
  • Braven Health℠ Medicare Advantage members: Braven Health, PO Box 825488, Philadelphia, PA 19182-5488

Source: Horizon NJ Health