Contact Us
Provider Contacts
Phone NumbersPhone Numbers
Provider Services | 1-800-682-9091 |
Member Services Someone is available 24 hours a day, seven days a week to help you |
1-800-682-9090 (TTY 711) |
Horizon NJ Health Enrollment Hotline For information on enrollment |
1-800-637-2997 |
Horizon NJ Health Care/Case Manager To speak with a Care/Case Manager or learn about a Disease Management Program |
1-800-682-9094 (TTY 711) |
New Jersey State Health Benefits Coordinator (HBC) For questions about the status of your application |
1-800-701-0710 (TTY 1-800-701-0720) |
Professional Contracting and Servicing StaffProfessional Contracting and Servicing Staff
For assistance or for a personal visit to your office, contact the Horizon NJ Health associates at the phone numbers below.
MEDICAL Physician Field Representatives |
County |
William Mitchell 1-609-203-7094 William_Mitchell@HorizonBlue.com |
Gloucester* Middlesex Monmouth Salem* Union |
Maureen Hanson 1-609-537-2152 Maureen_A_Hanson@HorizonBlue.com |
Essex Hunterdon Passaic Somerset Sussex Warren |
Cheryl Gilbert, Provider Relations Supervisor 1-609-537-2634 Cheryl_Gilbert@HorizonBlue.com |
Atlantic* Burlington Camden Cumberland* Ocean |
Angelica Miranda 1-609-537-2336 Angelica_Kholstinin@HorizonBlue.com |
Bergen Cape May* Hudson Mercer Morris |
*covering
BEHAVIORAL HEALTH Physician Field Representatives |
County |
Dottie Laisi 1-856-638-3215 Dorothy_Laisi@HorizonBlue.com |
Atlantic Cape May Cumberland Gloucester Monmouth Ocean |
Michelle McCusker 1-856-638-3223 Michelle_McCusker@HorizonBlue.com |
Burlington Camden Middlesex Salem |
Olivia Inniss 1-973-466-4609 Olivia_Inniss@HorizonBlue.com |
Bergen Essex Hudson Passaic |
LaTanya McLean Barkley 1-856-638-3228 LaTanya_Barkley@HorizonBlue.com |
Hunterdon Mercer Morris Somerset Sussex Union Warren |
ANCILLARY CONTRACTING & SERVICING Provider Contracting Contact |
Specialties | |
Alana McDonald 1-609-537-2438 Alana_McDonald@HorizonBlue.com |
Adult Family Care* Adult Medical Day Care/ Pediatric Medical Day Care Caregiver Participant Training* Chore Service (Cleaning/Maintenance)* Cognitive Therapy* Community Residential Services* Community Transition Services* Home Delivered Meals* Medication Dispensing* Non-Medical Transportation* Personal Emergency Response System (PERS)* Residential/Vehicle Modification* Social Adult Day* Traumatic Brain Injury (TBI)* |
|
Lori Bembry 1-609-537-2427 Lori_Bembry@HorizonBlue.com |
Home Health Home-Based Supportive Care* Personal Care Assistant (PCA) Respite (In-Home)* Private Duty Nursing |
|
Denice Berrios 1-609-537-2446 Denice_Berrios@HorizonBlue.com |
Assisted Living Program* Assisted Living Residence* Comprehensive Personal Care Home* Skilled Nursing Facility* |
|
Lynda Jackson-Sealy 1-609-537-2648 Lynda_Jackson-Sealy@HorizonBlue.com |
Ambulance (Transportation) Ambulatory Surgical Center (ASC) Lithotripsy Comprehensive Outpatient Rehab Facility (CORF) Home Infusion Hospice Lab PT/OT/ST (In-Home/Outpatient) Radiology Sleep Studies |
|
Stephen Fitch 1-609-537-2614 Stephen_Fitch@HorizonBlue.com |
Special Projects Electronic Visit Verification (EVV) |
|
Walgena Daniels 1-609-537-2335 Walgena_Daniels@HorizonBlue.com |
Dialysis Hearing (Audiology) Orthotic & Prosthetic (O&P) Durable Medical Equipment (DME) |
|
Andrew Alleman 1-973-466-6824 Andrew_Alleman@HorizonBlue.com |
Behavioral Health Ancillary | County NJ Counties: Bergen Cumberland Essex Hudson Monmouth Passaic Somerset Sussex Union Warren |
Barbara Slater-Wilson 1-973-466-4063 Barbara_Slater-Wilson@HorizonBlue.com |
Behavioral Health Ancillary | County NJ Counties: Atlantic Burlington Camden Cape May Gloucester Hunterdon Mercer Middlesex Ocean Salem |
*MLTSS Services
Claims and AppealsClaims and Appeals
Claims | Claims and other billing forms should be submitted to: Horizon NJ Health Claims Processing Department P.O. Box 24078 Newark, NJ 07101-0406 |
Utilization Management Appeals | Utilization Management decisions appeals should be submitted to: Horizon Medical Appeals PO Box 10194 Newark, NJ 07101 Or Fax to 1-609-583-3028 You can also request an appeal by calling the UM Appeals Department at 1-800-682-9094, ext. 9606, prompt 2. |
Administrative Claim Appeals | Administrative Claim Appeals should be submitted to: Horizon NJ Health Administrative Claim Appeals PO Box 63000 Newark, NJ 07101 Or Fax to 1-973-522-4678 |
For questions regarding billing or appeals, please contact the Physician and Health Care Hotline at 1-800-682-9091 and/or your Professional Relations Representative.
Changes to Your PracticeChanges to Your Practice
It is very important that Horizon NJ Health maintains accurate information in our provider database. This information is essential for providing access to services for our members.
It is each practice’s responsibility to notify Horizon NJ Health prior to any change in the status of the practice or provider. This includes the sale or purchase of a practice, the addition of a provider or the retirement of a provider. In the case of a provider death, the practice should notify Horizon NJ Health immediately.
You can email demographic information updates to EnterprisePDM@HorizonBlue.com or mail to:
Horizon BCBSNJ Provider Files
3 Penn Plaza East, PP-14C
Newark, NJ 07105-2200
Horizon BCBSNJ Provider Files
3 Penn Plaza East, PP-14C
Newark, NJ 07105-2200
If you are terminating from the network, you are required to send a notice via certified mail, as per your agreement. Please send notification via certified mail with return receipt to:
Horizon NJ Health
1700 American Blvd
Pennington, NJ 08534
Attention: Sandra Walters-Muschett
1700 American Blvd
Pennington, NJ 08534
Attention: Sandra Walters-Muschett
If you have any questions about this requirement, please contact your Provider Relations Representative.
Click here for complete details on Demographic Updates.