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Horizon Blue Cross and Blue Shield of New Jersey

Horizon BCBS NJ

The provider portal for Horizon Blue Cross and Blue Shield of New Jersey is https://apps.availity.com/

Primary payer ID
22099Compare transaction IDs ↓
Last successful claim statusWithin the past 48 hoursObserved across Substrate's claim-status network.
SupportedEDI 276/277EDI 270/271Browser automation

Is your practice experiencing high volumes of no response claims or denials from Horizon Blue Cross and Blue Shield of New Jersey? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with Horizon Blue Cross and Blue Shield of New Jersey

Substrate can help practices and billers with the following claims tasks for Horizon Blue Cross and Blue Shield of New Jersey.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Horizon Blue Cross and Blue Shield of New Jersey.

Available

Eligibility

EDI 270/271

The 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 automation

The Substrate Claim Status Agent can check claim status via the payer portal for Horizon Blue Cross and Blue Shield of New Jersey.

Available

Appeals agent

AI appeals workflow

The 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

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.

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.

Resource library

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.

Horizon Blue Cross and Blue Shield of New Jersey payer name, operating states, and transaction-specific payer IDs
Payer nameHorizon Blue Cross and Blue Shield of New Jersey
Operating statesDE, FL, NJ, NY, PA, SC
837P professional claims payer IDStedi22099
837I institutional claims payer IDStedi22099
835 ERA payer IDStedi22099Enrollment required
270 eligibility payer IDStedi22099
270 eligibility payer IDAvaility22099
276 claim status payer IDStedi22099
276 claim status payer IDAvaility22099

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
Horizon Blue Cross and Blue Shield of New Jersey payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
fax(866) 411-2573Prior authorizationBenefit context: Co-Insurance
  • ACUTE INPATIENT REHABILITATION ADMISSION PRECERTIFICATION
  • SKILLED NURSING FACILITY ADMISSION PRECERTIFICATION
Hospital
fax(866) 411-2585Prior authorizationBenefit context: Co-Insurance
  • ACUTE INPATIENT HOSPITAL ADMISSION PRECERTIFICATION
Hospital
fax(410) 781-7661Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • UTILIZATION MANAGEMENT
fax(877) 663-7526Other stated contextBenefit context: Co-Payment
  • CLINICAL INTAKE OPERATIONS
Hospital
fax(888) 282-1321
  • HORIZON BLUE CROSS AND BLUE SHIELD OF NEW JERSEY
phone(800) 450-8753Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment
  • CARELONRX
  • UTILIZATION MANAGEMENT
Chiropractic, Hospital, Pharmacy
phone(800) 676-2583Eligibility / benefits, Other stated contextBenefit context: Active Coverage; Benefit context: Contact Following Entity for Eligibility or Benefit Information
  • 22099
  • BCBS OF NEW JERSEY
  • CAPITAL BLUE CROSS
  • Customer Service
  • HORIZON BLUE CROSS AND BLUE SHIELD OF NEW JERSEY
  • Horizon Blue Cross and Blue Shield of New Jersey
Health Benefit Plan Coverage, Hospital, Hospital - Inpatient
phone(800) 972-8088Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CUSTOMER SERVICE
Hospital, Hospital - Inpatient
phone(800) 981-3546Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Customer Service
Hospital, Hospital - Inpatient
phone(833) 870-0272Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CVS CAREMARK
Pharmacy
phone(844) 451-2057Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CARELONRX
Pharmacy
phone(844) 770-1500Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Davis Vision
Vision (Optometry)
phone(855) 592-2895Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • BLUE VIEW VISION
Vision (Optometry)
phone(866) 819-4298Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • SUPERIOR VISION
Vision (Optometry)
phone(866) 921-4047Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • TRUE RX
Pharmacy
phone(888) 352-7924Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • LIBERTY DENTAL
Dental Care
phone(800) 274-7767Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(833) 782-4960Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(844) 430-0326Utilization managementBenefit context: Co-Payment
  • UTILIZATION MANAGEMENT
Chiropractic
phone(855) 343-4851Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(866) 470-6244Utilization managementBenefit context: Co-Insurance; Benefit context: Co-Payment
  • UTILIZATION MANAGEMENT
Hospital
phone(866) 773-2884Other stated context, Utilization managementBenefit context: Co-Insurance; Benefit context: Contact Following Entity for Eligibility or Benefit Information
  • Pre Service Review
  • UTILIZATION MANAGEMENT
Hospital - Inpatient
phone(800) 924-7141Other stated context, PharmacyBenefit context: Co-Insurance; Benefit context: Benefit Description
  • BLUECROSS AND BLUESHIELD OF TENNESSEE
  • MAGELLANRX
Hospital - Outpatient, Pharmacy
phone(866) 322-1657Behavioral healthBenefit context: Active Coverage
  • BEHAVIORAL HEALTH MANAGER
Mental Health
phone(800) 238-2227Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Hospital
phone(800) 275-2583Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment; Benefit context: Limitations
  • AUTHORIZATIONS
Chiropractic, Hospital - Inpatient, Hospital, Physician Visit - Office: Well, Physician Visit - Office: Well
phone(800) 397-7337Other stated contextBenefit context: Co-Insurance; Benefit context: Deductible
  • Availity Auth and Referrals Page
Hospital - Inpatient
phone(800) 441-2411Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Urgent Care
phone(800) 452-8507Other stated contextBenefit context: Active Coverage
  • HIGHMARK MEDICAL MANAGEMENT & POLICY
Hospital
phone(800) 664-2583Other stated contextBenefit context: Active Coverage
  • HORIZON BCBSNJ
Health Benefit Plan Coverage
phone(800) 905-4102Other stated contextBenefit context: Active Coverage
  • BLUECROSS VISION
Vision (Optometry)
phone(833) 633-1638Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Hospital
phone(844) 241-7087Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Chiropractic
phone(855) 243-3326Other stated contextBenefit context: Co-Insurance
  • Sleep Management Solutions
Hospital - Inpatient
phone(888) 224-4896Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Hospital, Hospital - Inpatient
phone(888) 849-3682Other stated contextBenefit context: Co-Payment
  • CLINICAL INTAKE OPERATIONS
Hospital
phone(888) 953-6703Other stated contextBenefit context: Co-Insurance
  • CARELON
Hospital
phone(800) 327-6716
  • HORIZON BLUE CROSS AND BLUE SHIELD OF NEW JERSEY
phone(800) 727-2227
  • BCBS OF NEW JERSEY
  • Horizon Blue Cross and Blue Shield of New Jersey

Phone and fax numbers sourced directly from the payer response

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