Get the free Horizon Blue Cross Blue Shield of New Jersey EDI Companion Document
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This document provides guidelines for healthcare providers and IS vendors/integrators for the implementation of Electronic Data Interchange (EDI) with Horizon BCBSNJ, focusing on the ANSI 270/271
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How to fill out Horizon Blue Cross Blue Shield of New Jersey EDI Companion Document
01
Obtain the Horizon Blue Cross Blue Shield of New Jersey EDI Companion Document from their official website or request it from their provider services.
02
Review the requirements for submitting electronic claims to understand the needed data elements.
03
Identify the specific type of claim you are submitting (e.g., professional, institutional) and refer to the corresponding section in the companion document.
04
Fill in your provider information, including NPI number and facility details, in the designated fields.
05
Input patient details such as name, date of birth, and member ID as specified in the document.
06
Complete the claim information, ensuring accurate coding for diagnoses and procedures is matched with the provided guidelines.
07
Double-check all fields for compliance with the document to avoid errors during submission.
08
Save or submit your completed EDI file according to the instructions in the companion document.
Who needs Horizon Blue Cross Blue Shield of New Jersey EDI Companion Document?
01
Healthcare providers submitting claims to Horizon Blue Cross Blue Shield of New Jersey.
02
Billing professionals and administrative staff involved in processing electronic claims.
03
Organizations and businesses that need to ensure compliance with Horizon's electronic billing requirements.
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People Also Ask about
Is Horizon, NJ the same as Blue Cross, Blue Shield?
Headquartered in Hopewell, NJ, Horizon NJ Health is wholly owned by Horizon Blue Cross Blue Shield of New Jersey.
How to find a Horizon Blue Cross Blue Shield of NJ doctor?
To find an in-network doctor near you, use our Doctor & Hospital Finder or the Horizon Blue app.
How do I contact Horizon Blue Cross Blue Shield of New Jersey?
1-800-624-2048 Availity, LLC has contracted with Horizon Blue Cross Blue Shield of New Jersey and its affiliates in the administration of the provider portal.
What is the payer ID for Horizon Healthcare of New Jersey?
The Horizon BCBSNJ Payer ID is 22099.
Is Horizon part of Blue Cross Blue Shield?
Horizon Blue Cross Blue Shield of New Jersey, headquartered in Newark, New Jersey is the only licensed Blue Cross and Blue Shield Association plan in New Jersey, providing health insurance coverage to over 3.2 million people throughout all of New Jersey.
What is another name for Blue Cross Blue Shield?
Blue Cross Blue Shield Association, also known as BCBS, BCBSA, or The Blues, is a United States–based federation with 33 independent and locally operated BCBSA companies that provide health insurance to more than 115 million people in the U.S. as of 2022.
Is Horizon, NJ the same as BCBS?
Products and services are provided by Horizon Blue Cross Blue Shield of New Jersey, Horizon Insurance Company, Horizon Healthcare of New Jersey, Braven Health℠, and/or Horizon Healthcare Dental, Inc., each an independent licensee of the Blue Cross Blue Shield Association.
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What is Horizon Blue Cross Blue Shield of New Jersey EDI Companion Document?
The Horizon Blue Cross Blue Shield of New Jersey EDI Companion Document is a guideline that outlines standards for electronic data interchange (EDI) transactions between healthcare providers and Horizon BCBSNJ.
Who is required to file Horizon Blue Cross Blue Shield of New Jersey EDI Companion Document?
Healthcare providers and entities that submit electronic claims, encounter data, and related transactions to Horizon Blue Cross Blue Shield of New Jersey are required to file the EDI Companion Document.
How to fill out Horizon Blue Cross Blue Shield of New Jersey EDI Companion Document?
To fill out the Horizon Blue Cross Blue Shield of New Jersey EDI Companion Document, providers must follow the instructions provided in the document, ensuring that all required fields are completed accurately according to the specified format and codes.
What is the purpose of Horizon Blue Cross Blue Shield of New Jersey EDI Companion Document?
The purpose of the Horizon Blue Cross Blue Shield of New Jersey EDI Companion Document is to facilitate the accurate and efficient electronic exchange of healthcare data between providers and Horizon BCBSNJ, ensuring compliance with industry standards.
What information must be reported on Horizon Blue Cross Blue Shield of New Jersey EDI Companion Document?
The information that must be reported on the Horizon Blue Cross Blue Shield of New Jersey EDI Companion Document includes provider identification details, claim information, patient data, and other relevant transaction specifics as outlined in the document.
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