Coverage profile
How Substrate can help you with Horizon New Jersey Health
Substrate can help practices and billers with the following claims tasks for Horizon New Jersey Health.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Horizon New Jersey Health.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Horizon New Jersey Health.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Horizon New Jersey Health.
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 New Jersey Health.
Payer intelligence
Observed adjudication timing
How long completed claims in Substrate’s aggregate network took from payer receipt to the 835 payment date.
Median time to payment
20 days- 10% of adjudications by
- 1 day
- 90% of adjudications by
- 20 days
- Applicable state coverage
- NJ
- Current As Of
- July 2026
Five-month median trend
Days to 835 paymentView chart data as a table
| Service month | Median | 10% of adjudications by | 90% of adjudications by | Completed claims | Coverage |
|---|---|---|---|---|---|
| Apr | 20 days | 20 days | 71 days | 198 | NJ |
| May | 20 days | 5 days | 21 days | 143 | NJ |
| Jun | 20 days | 20 days | 21 days | 234 | NJ |
| Jul | 20 days | 1 day | 20 days | 144 | NJ |
| Aug | No qualified data | ||||
Frequently asked questions
Horizon New Jersey Health payer FAQs
How do I check claim status with Horizon New Jersey Health?
Providers check Horizon New Jersey Health via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Horizon New Jersey Health 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 New Jersey Health?
The primary payer ID for Horizon New Jersey Health is 22326. 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 New Jersey Health?
The provider portal for Horizon New Jersey Health is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Horizon New Jersey Health?
The 837P and 837I payer ID for Horizon New Jersey Health is 22326 via Stedi.
What is the 835 payer ID for Horizon New Jersey Health?
The 835 payer ID for Horizon New Jersey Health is 22326 via Stedi.
What is the 270 payer ID for Horizon New Jersey Health?
The 270 payer IDs for Horizon New Jersey Health are 22326 via Stedi and 22326 via Availity.
What is the 276 payer ID for Horizon New Jersey Health?
The 276 payer IDs for Horizon New Jersey Health are 22326 via Stedi and 22326 via Availity.
What state does Horizon New Jersey Health operate in?
Horizon New Jersey Health operates in NJ.
Routing reference
Horizon New Jersey Health 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 New Jersey Health |
|---|---|
| Operating states | NJ |
| 837P professional claims payer IDStedi | 22326 |
| 837I institutional claims payer IDStedi | 22326 |
| 835 ERA payer IDStedi | 22326Enrollment required |
| 270 eligibility payer IDStedi | 22326 |
| 270 eligibility payer IDAvaility | 22326 |
| 276 claim status payer IDStedi | 22326 |
| 276 claim status payer IDAvaility | 22326 |
Other aliases
Also known as
- 10337
- 1709
- 22326
- 6534
- HZMRCY
- Horizon NJ Health
- Mercy Health Plan of New Jersey