Demographic updates
How to update your information with Horizon NJ Health
Please provide a letter, including submitter’s name, outlining your request along with the following documentation 30 days prior to the effective date of the requested change(s):
Type of request | Documentation required | Comments |
Relocation or add new location |
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Specify whether you are closing an existing office and/or adding an additional location. |
Add provider to new location/group |
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Close or open panel |
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There is a 90-day waiting period, per policy. Provider must have at least 50 members. We do not close panels for specialists. |
Update other demographics (e.g., hours, phone, fax, suite, languages, age limits, panel limit) |
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If updating a suite, verify if site visit is needed (required for new locations for PCPs and Ob/Gyns). |
TIN change or purchase of another entity |
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Note whether you are assuming liability of prior TIN. |
Billing and remittance change |
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Be sure the billing address is not a PO Box; must be a physical location. |
Termination from location/group |
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Advise where paneled members should be moved/transferred, if applicable (for PCPs only). |
Email your request and supporting documentation to EnterprisePDM@HorizonBlue.com or mail to:
Horizon BCBSNJ Provider Files
3 Penn Plaza East, PP-14C
Newark, NJ 07105-2200