Horizon Customer Service Contacts

Horizon Blue Cross Blue Shield of New Jersey’s claims payment policy outlines the procedures and guidelines for processing and reimbursing healthcare claims submitted by members and providers. The policy specifies the necessary documentation, submission timelines, and coding requirements to ensure accurate and timely payments. It also details the review process for claims, including criteria for approval or denial, and provides information on how to appeal denied claims. Additionally, the policy addresses coordination of benefits when members have multiple insurance plans, ensuring that payments are allocated appropriately. Adherence to this policy is essential for both providers and members to facilitate efficient claims processing and reimbursement.

Horizon Blue Cross Blue Shield of New Jersey adheres to applicable federal civil rights laws, ensuring that no individual is discriminated against, excluded, or treated differently based on race, color, national origin, age, disability, or sex. The organization provides free aids and services to people with disabilities, such as qualified sign language interpreters and information in accessible formats like large print and audio. Additionally, free language services are available for individuals whose primary language is not English, including qualified interpreters and translated materials. If someone believes they have faced discrimination, they can file a grievance with the Civil Rights Coordinator at Horizon Blue Cross Blue Shield of New Jersey by mail, fax, or email. Complaints can also be submitted directly to the U.S. Department of Health and Human Services Office for Civil Rights through various channels.

To cancel coverage, employer-sponsored members should contact the benefits administrator. Members who purchased through New Jersey’s state-based exchange must notify Get Covered New Jersey at (833) 677-1010 at least 14 days in advance. Those who bought directly from Horizon can terminate coverage anytime by submitting a request for termination form.