Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ) offers a lot of services, and getting in touch with the right person is key for healthcare providers. Whether you need to sort out a problem, confirm some details, or just keep things running smoothly, knowing the right Horizon BCBSNJ provider phone number is vital.
This guide will help you find the right contact info for whatever you need. We’ll break down the different departments, services, and ways to get in touch.
Our goal is to help providers quickly find the information they need, saving time and improving the overall experience.
Understanding the Provider Services Call Center and Hours
Horizon BCBSNJ has a special Provider Services call center to answer questions from doctors and other healthcare providers. These questions might be about whether a patient is eligible for coverage or how to file a claim.
The Provider Services call center is open Monday through Thursday, from 8 a.m. to 5 p.m. ET, and Friday from 9 a.m. to 5 p.m. ET.
Horizon BCBSNJ recommends that providers use the automated phone system and online self-service tools to get information quickly. This can save time and give fast answers to common questions.
If you do need to call, make sure to have the Horizon member’s ID card handy.
Key Provider Services Phone Numbers by Department
Horizon BCBSNJ offers various phone numbers for provider services, depending on the issue you’re trying to resolve. Here’s a quick rundown:
Professional Provider Services
There are specific phone numbers for each of the Professional Provider Services divisions. Using the correct number will help you get to the right team to address your specific need, whether it’s verifying eligibility, checking on a claim, or getting prior authorization.
Facility/Institutional Provider Services
Just like with professional services, facilities and institutions have dedicated contact numbers for billing, contracting, and other administrative issues.
BlueCard® and Other Programs
If you’re working with patients who have coverage through the BlueCard® program, you’ll want to make sure you have the correct contact number for BlueCard® Benefits and BlueCard® Claims. There are also specific numbers for Horizon Labor Accounts (HLA), Braven Health℠, Horizon Behavioral Health, and Horizon Behavioral Health SHBP.
Accessing Specialized Provider Contacts and Services
Horizon BCBSNJ offers a wide range of specialized services and contacts for healthcare providers.
Behavioral Health Services
If you’re a provider who needs to contact Horizon about behavioral health services, be aware that there are different contacts depending on whether the patient is a child (under 18) or an adult (18 or older). The contact number may also vary depending on the specific behavioral health service required.
Specialty Services
Horizon provides contact information for various specialty services, including Davis Vision, eviCore, LabCorp, and Pharmacy. These numbers can help you connect with the right specialists for authorizations, referrals, and other inquiries. You can also find information about discharge planning.
Provider Account Specialists
Horizon BCBSNJ assigns Provider Account Specialists by county and specialty. These specialists can give you personalized support and guidance. Contacting your assigned specialist can be really helpful if you’re trying to resolve complicated issues or address specific concerns.
Claims and Appeals
There are dedicated contact numbers for inquiries related to claims and appeals. You can use these numbers to check the status of claims, submit appeals, or address any payment discrepancies.
Other Resources and Support
Besides provider phone numbers, Horizon BCBSNJ offers other resources.
For example, New Jersey residents can dial 2-1-1 for help with social services and crisis intervention.
Contact information is also available for:
- Adult Protective Services
- the NJ Division of Developmental Disabilities
- the Division of Child Protection and Permanency
- the NJ Addiction Services Hotline
These resources can help providers who are assisting patients with complicated needs.
The Bottom Line
As a Horizon BCBSNJ provider, knowing how to contact the right department can make managing your practice easier. Understanding the different phone numbers and resources available will save you time and improve your overall experience.
For quick answers, you can also use Horizon’s automated systems and self-service tools, which can help you resolve common issues without having to call.
With the information provided here, you can confidently access the support you need from Horizon BCBSNJ.