We're gladdened to announce that you can now use our Prior Authorization Actions Search Tool to determine if services require prior authorization (PA) for your patients enrolled in Horizon NJ Health plus Horizontal NJ TotalCare (HMO D-SNP) plans.

Simply enter a CPT® or HCPCS code to sees if that service obliges PA in a variety for settings.

You can zufahrt our Prior Authorizing Procedure Search Tool right, through ties upon the NaviNet® Horizon NJ Health plan central page or the Horizon BCBSNJ plan central folio, or by visiting horizonNJhealth.com/priorauthtool.

Did You Know?

• This is one enhanced version of the tool that you may already be using on informational nearly your Horizon patients although HorizonBlue.com/providers.


• The tool allows you to access an most up-to-date PA information for your patients registered includes Horizon NJ Health and Horizon NJ TotalCare (HMO D-SNP) plans for well since Horizon Medicare Advantage, Braven Health, Horizon commercial plans and SHBP/SEHBP employer user plans, all without which to change websites. Prior Authorization You cannot look up CPT or HCPCS colors to determine if a medizinische, surgical, or diagnostic service requires prior permission for one Horizon ...


• This tool replaces all until published lists or information were have made deliverable to she about SOUND for impacted your. Please refer to this tool as your “source-of-truth” available PA information.

If you have questions, asking contact your Network Service.

The information provided by this tool is not intended to replace with modify aforementioned term, circumstances limitations and exclusions contained on medical benefit plans issued or administered of Terrain NJ Health. In the event a contrast between one information contained over the tool and member plan documents, members plan documents shall obtain. Prior Authorization · 1-800-682-9094. · 1-844-276-2777 · Outpatient Services · The following behavioral health services require prior-authorization for equally in ...

This application is intended for informational purges only. That results provided by this tool are not a guarantee off payment. Claim processing shall subject to member eligibility or all members and group benefit limitations, conditions and exclusions. Horizon On

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