Coverage profile
Work Horizon Blue Cross and Blue Shield of New Jersey across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Horizon Blue Cross and Blue Shield of New Jersey.
Supported
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Horizon Blue Cross and Blue Shield of New Jersey.
Available
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Horizon Blue Cross and Blue Shield of New Jersey.
Supported
Appeals agent
AI appeals workflowThe Substrate Appeals Agent can submit appeals for RFIs, medical record requests, downcoding reconsiderations, and more via the payer portal for Horizon Blue Cross and Blue Shield of New Jersey.
Available
Other aliases
Also known as
- 100046
- 10041
- 22099
- 2414
- BCNJC
- CEHPA
- NJBCBS
- BCBS New Jersey
- Horizon BCBSNJ
- Horizon Blue Cross Blue Shield New Jersey
- Horizon Blue Cross Blue Shield of New Jersey
- Horizon Blue Cross and Blue Shield of New Jersey - Medicare Advantage
- HORIZON BCBS NEW JERSEY
BlueCard home-plan routing
BCBS prefixes for Horizon Blue Cross and Blue Shield of New Jersey
These 356 member ID prefixes resolve to Horizon Blue Cross and Blue Shield of New Jersey as their terminal payer. Open a prefix to review its home plan, state, payer ID, and published routes.
Member ID prefixes
A2QBCBS prefixA3QBCBS prefixA3ZBCBS prefixA4KBCBS prefixA4YBCBS prefixA5WBCBS prefixB2JBCBS prefixB2NBCBS prefixB2RBCBS prefixB2WBCBS prefixB5TBCBS prefixB7TBCBS prefixB7UBCBS prefixB7VBCBS prefixB7WBCBS prefixB9RBCBS prefixBDWBCBS prefixBEOBCBS prefixBEWBCBS prefixBFVBCBS prefixBJBBCBS prefixBNZBCBS prefixC2WBCBS prefixC4JBCBS prefixC8JBCBS prefixC9JBCBS prefixC9KBCBS prefixC9LBCBS prefixC9QBCBS prefixC9UBCBS prefixC9VBCBS prefixCBUBCBS prefixCBZBCBS prefixD2ABCBS prefixD2SBCBS prefixD2UBCBS prefixD2WBCBS prefixD4MBCBS prefixD4SBCBS prefixD5SBCBS prefixD6GBCBS prefixD6RBCBS prefixD6YBCBS prefixD7LBCBS prefixD7QBCBS prefixD7TBCBS prefixD7UBCBS prefixD7VBCBS prefixD7WBCBS prefixD9VBCBS prefixDCWBCBS prefixDJJBCBS prefixDMPBCBS prefixDSXBCBS prefixDTBBCBS prefixDUGBCBS prefixDWKBCBS prefixDXRBCBS prefixEYLBCBS prefixF2BBCBS prefixF2FBCBS prefixF2JBCBS prefixF3HBCBS prefixF3NBCBS prefixF3TBCBS prefixF3VBCBS prefixF3XBCBS prefixF4SBCBS prefixF4VBCBS prefixF5TBCBS prefixF5WBCBS prefixF5ZBCBS prefixF6TBCBS prefixF6UBCBS prefixF6VBCBS prefixF7NBCBS prefixF8GBCBS prefixF8WBCBS prefixF8XBCBS prefixF9TBCBS prefixF9WBCBS prefixFEOBCBS prefixFLPBCBS prefixG3YBCBS prefixG6WBCBS prefixG7KBCBS prefixG7UBCBS prefixH2NBCBS prefixH2WBCBS prefixH2YBCBS prefixH2ZBCBS prefixH3SBCBS prefixH4CBCBS prefixH4ZBCBS prefixH5KBCBS prefixH6ZBCBS prefixH7BBCBS prefixH7CBCBS prefixH7JBCBS prefixH7PBCBS prefixH7ZBCBS prefixH8ZBCBS prefixHAABCBS prefixHABBCBS prefixHAMBCBS prefixHAQBCBS prefixHAXBCBS prefixHAZBCBS prefixHBDBCBS prefixHBHBCBS prefixHBKBCBS prefixHBXBCBS prefixHBYBCBS prefixHCDBCBS prefixHEDBCBS prefixHEFBCBS prefixHENBCBS prefixHFMBCBS prefixHFRBCBS prefixHHPBCBS prefixHHWBCBS prefixHJNBCBS prefixHLMBCBS prefixHLRBCBS prefixHPRBCBS prefixHSABCBS prefixHSDBCBS prefixHSEBCBS prefixHSFBCBS prefixHSGBCBS prefixHSHBCBS prefixHSJBCBS prefixHSLBCBS prefixHSQBCBS prefixHSUBCBS prefixHTKBCBS prefixHUFBCBS prefixHWABCBS prefixHWEBCBS prefixHWQBCBS prefixHWWBCBS prefixHXSBCBS prefixIICBCBS prefixIRABCBS prefixISCBCBS prefixJ4GBCBS prefixJ4JBCBS prefixJ4KBCBS prefixJ4QBCBS prefixJ4RBCBS prefixJ4UBCBS prefixJ5VBCBS prefixJ6VBCBS prefixJ7UBCBS prefixJDJBCBS prefixJDUBCBS prefixJEEBCBS prefixJEJBCBS prefixJFXBCBS prefixJFYBCBS prefixJGBBCBS prefixJGDBCBS prefixJGEBCBS prefixJGGBCBS prefixJGHBCBS prefixJGIBCBS prefixJGJBCBS prefixJGLBCBS prefixJGMBCBS prefixJGNBCBS prefixJGOBCBS prefixJGPBCBS prefixJGQBCBS prefixJGRBCBS prefixJGSBCBS prefixJGTBCBS prefixJGUBCBS prefixJGVBCBS prefixJGWBCBS prefixJGXBCBS prefixJGYBCBS prefixJGZBCBS prefixJVKBCBS prefixJVLBCBS prefixK2MBCBS prefixK2PBCBS prefixKDPBCBS prefixKECBCBS prefixKJPBCBS prefixKLXBCBS prefixKPUBCBS prefixKQDBCBS prefixKQLBCBS prefixKQMBCBS prefixKUGBCBS prefixKZRBCBS prefixL3MBCBS prefixL6PBCBS prefixLESBCBS prefixLSHBCBS prefixLSWBCBS prefixLWRBCBS prefixLZUBCBS prefixMGZBCBS prefixMKVBCBS prefixMKYBCBS prefixMWJBCBS prefixMWKBCBS prefixNCLBCBS prefixNDDBCBS prefixNFCBCBS prefixNFEBCBS prefixNHLBCBS prefixNHVBCBS prefixNHXBCBS prefixNIIBCBS prefixNJDBCBS prefixNJEBCBS prefixNJIBCBS prefixNJNBCBS prefixNJOBCBS prefixNJPBCBS prefixNJRBCBS prefixNJSBCBS prefixNJTBCBS prefixNJXBCBS prefixNKGBCBS prefixNKHBCBS prefixNKOBCBS prefixNLDBCBS prefixNLEBCBS prefixNLGBCBS prefixNLSBCBS prefixNMOBCBS prefixNMRBCBS prefixNNIBCBS prefixNOBBCBS prefixNOCBCBS prefixNODBCBS prefixNPHBCBS prefixNRQBCBS prefixNRWBCBS prefixNSGBCBS prefixNSIBCBS prefixNSJBCBS prefixNSKBCBS prefixNSYBCBS prefixNTRBCBS prefixNTWBCBS prefixNUFBCBS prefixNUHBCBS prefixNVPBCBS prefixNVYBCBS prefixNYMBCBS prefixOURBCBS prefixOUTBCBS prefixOYCBCBS prefixPFRBCBS prefixPFZBCBS prefixPJYBCBS prefixPUBBCBS prefixRFWBCBS prefixRJUBCBS prefixRKXBCBS prefixRLXBCBS prefixRQVBCBS prefixRUGBCBS prefixRWXBCBS prefixRXRBCBS prefixRYJBCBS prefixS7JBCBS prefixS7KBCBS prefixS8UBCBS prefixSCVBCBS prefixSDQBCBS prefixSGHBCBS prefixSMJBCBS prefixSNJBCBS prefixSQWBCBS prefixSRABCBS prefixSRDBCBS prefixSUBBCBS prefixSUCBCBS prefixSUXBCBS prefixSUYBCBS prefixSUZBCBS prefixTBGBCBS prefixTEBBCBS prefixTGWBCBS prefixTJUBCBS prefixTLHBCBS prefixTMUBCBS prefixTQLBCBS prefixTQTBCBS prefixTQWBCBS prefixTULBCBS prefixTUUBCBS prefixTUVBCBS prefixTVVBCBS prefixTWFBCBS prefixTWPBCBS prefixTYNBCBS prefixTZFBCBS prefixUCJBCBS prefixUFDBCBS prefixUGCBCBS prefixUGYBCBS prefixUOQBCBS prefixUXIBCBS prefixVEGBCBS prefixVGGBCBS prefixVVNBCBS prefixWUGBCBS prefixWURBCBS prefixWYEBCBS prefixXVQBCBS prefixYHABCBS prefixYHBBCBS prefixYHDBCBS prefixYHEBCBS prefixYHFBCBS prefixYHGBCBS prefixYHLBCBS prefixYHNBCBS prefixYHOBCBS prefixYHPBCBS prefixYHQBCBS prefixYHRBCBS prefixYHWBCBS prefixYHXBCBS prefixYHYBCBS prefixYHZBCBS prefixYKABCBS prefixYKBBCBS prefixYKCBCBS prefixYKDBCBS prefixYKEBCBS prefixYKFBCBS prefixYKGBCBS prefixYKHBCBS prefixYKIBCBS prefixYKJBCBS prefixYKKBCBS prefixYKLBCBS prefixYKMBCBS prefixYKOBCBS prefixYKQBCBS prefixYKRBCBS prefixYKSBCBS prefixYKTBCBS prefixYKUBCBS prefixYKZBCBS prefixYNYBCBS prefixYNZBCBS prefixYYYBCBS prefixZJLBCBS prefix
2027 maternity billing research
When does Horizon Blue Cross and Blue Shield of New Jersey change OB/GYN billing?
Confirmed 2027 guidance
Horizon encourages prenatal claims after pregnancy confirmation to use existing E/M codes with modifier -TH and the appropriate maternity diagnosis for dates of service on or after 2026-09-01. Its notice identifies the AMA component-based model as beginning 2027-01-01.
- Transition start
- 2026-09-01 (encouraged)
- Billing start
- 2027-01-01
- Published
- 2026-08-25
- Current As Of
- September 2026
Scope: Exact Horizon Blue Cross Blue Shield of New Jersey provider notice. No product line is identified; it is not mapped to Horizon NJ Health, Braven Health, dental, or federal-program routing records.
Preparing for the AMA’s Transition to Component-Based Maternity Billing. Verify the payer source before claim submission.
Frequently asked questions
Horizon Blue Cross and Blue Shield of New Jersey payer FAQs
How do I check claim status with Horizon Blue Cross and Blue Shield of New Jersey?
Providers check Horizon Blue Cross and Blue Shield of New Jersey via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Horizon Blue Cross and Blue Shield of New Jersey portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
What is the payer ID for Horizon Blue Cross and Blue Shield of New Jersey?
The primary payer ID for Horizon Blue Cross and Blue Shield of New Jersey is 22099. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What is the provider portal for Horizon Blue Cross and Blue Shield of New Jersey?
The provider portal for Horizon Blue Cross and Blue Shield of New Jersey is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Horizon Blue Cross and Blue Shield of New Jersey?
The 837P and 837I payer ID for Horizon Blue Cross and Blue Shield of New Jersey is 22099 via Stedi.
What is the 835 payer ID for Horizon Blue Cross and Blue Shield of New Jersey?
The 835 payer ID for Horizon Blue Cross and Blue Shield of New Jersey is 22099 via Stedi.
What is the 270 payer ID for Horizon Blue Cross and Blue Shield of New Jersey?
The 270 payer IDs for Horizon Blue Cross and Blue Shield of New Jersey are 22099 via Stedi and 22099 via Availity.
What is the 276 payer ID for Horizon Blue Cross and Blue Shield of New Jersey?
The 276 payer IDs for Horizon Blue Cross and Blue Shield of New Jersey are 22099 via Stedi and 22099 via Availity.
What states does Horizon Blue Cross and Blue Shield of New Jersey operate in?
Horizon Blue Cross and Blue Shield of New Jersey operates in DE, FL, NJ, NY, PA, and SC.
Routing reference
Horizon Blue Cross and Blue Shield of New Jersey payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Horizon Blue Cross and Blue Shield of New JerseySource: Substrate payer directory · data last changed |
|---|---|
| Operating states | DE, FL, NJ, NY, PA, SCSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | 22099Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 22099Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 22099Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 22099Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 22099Source: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 22099Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | 22099Source: Availity payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Horizon Blue Cross and Blue Shield of New Jersey. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: HORIZON BCBS NEW JERSEY. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Horizon Blue Cross and Blue Shield of New Jersey. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Payer contact directory
Horizon Blue Cross and Blue Shield of New Jersey phone and fax numbers
Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.
- Eligibility / benefits phone
- (800) 676-2583HORIZON BLUE CROSS AND BLUE SHIELD OF NEW JERSEY
- Payer fax
(888) 282-1321HORIZON BLUE CROSS AND BLUE SHIELD OF NEW JERSEY
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
fax(866) 411-2573 | Prior authorizationBenefit context: Co-Insurance |
| Hospital |
fax(866) 411-2585 | Prior authorizationBenefit context: Co-Insurance |
| Hospital |
fax(410) 781-7661 | Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| |
fax(877) 663-7526 | Other stated contextBenefit context: Co-Payment |
| Hospital |
fax(888) 282-1321 |
| ||
| phone(800) 450-8753 | Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment |
| Chiropractic, Hospital, Pharmacy |
| phone(800) 676-2583 | Eligibility / benefits, Other stated contextBenefit context: Active Coverage; Benefit context: Contact Following Entity for Eligibility or Benefit Information |
| Health Benefit Plan Coverage, Hospital, Hospital - Inpatient |
| phone(800) 972-8088 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 981-3546 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(833) 870-0272 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(844) 451-2057 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(844) 770-1500 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(855) 592-2895 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(866) 819-4298 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(866) 921-4047 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(888) 352-7924 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 274-7767 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(833) 782-4960 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(844) 430-0326 | Utilization managementBenefit context: Co-Payment |
| Chiropractic |
| phone(855) 343-4851 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(866) 470-6244 | Utilization managementBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Hospital |
| phone(866) 773-2884 | Other stated context, Utilization managementBenefit context: Co-Insurance; Benefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital - Inpatient |
| phone(800) 924-7141 | Other stated context, PharmacyBenefit context: Co-Insurance; Benefit context: Benefit Description |
| Hospital - Outpatient, Pharmacy |
| phone(866) 322-1657 | Behavioral healthBenefit context: Active Coverage |
| Mental Health |
| phone(800) 238-2227 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(800) 275-2583 | Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment; Benefit context: Limitations |
| Chiropractic, Hospital - Inpatient, Hospital, Physician Visit - Office: Well, Physician Visit - Office: Well |
| phone(800) 397-7337 | Other stated contextBenefit context: Co-Insurance; Benefit context: Deductible |
| Hospital - Inpatient |
| phone(800) 441-2411 | Other stated contextBenefit context: Co-Insurance |
| Urgent Care |
| phone(800) 452-8507 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(800) 664-2583 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(800) 905-4102 | Other stated contextBenefit context: Active Coverage |
| Vision (Optometry) |
| phone(833) 633-1638 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(844) 241-7087 | Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Chiropractic |
| phone(855) 243-3326 | Other stated contextBenefit context: Co-Insurance |
| Hospital - Inpatient |
| phone(888) 224-4896 | Other stated contextBenefit context: Co-Insurance |
| Hospital, Hospital - Inpatient |
| phone(888) 849-3682 | Other stated contextBenefit context: Co-Payment |
| Hospital |
| phone(888) 953-6703 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(800) 327-6716 |
| ||
| phone(800) 727-2227 |
|
Phone and fax numbers sourced directly from the payer response