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Medical Policies - Horizon Blue Cross Blue Shield of …

    https://www.horizonblue.com/providers/policies-procedures/policies/medical-policies/policyterms?destination=/providers/policies-procedures/policies/medical-policies/search/keyword-all
    The purpose of the Horizon Medical Policy Manual is to provide clinical policies applicable to the administration of health benefits insured or administered by Horizon Blue Cross Blue Shield of New Jersey, Horizon Healthcare of New Jersey, Inc., Horizon Insurance …

Clinical and Preventive Guidelines and Policies - Horizon …

    https://horizonnjhealth.com/for-providers/resources/policies/clinical-and-preventive-guidelines-and-policies
    At Horizon NJ Health, we follow clinical and preventive guidelines for our Disease Management Programs and for the care we give to our members. These guidelines …

Health Services Policies – Clinical Affairs ... - Horizon NJ Health

    https://horizonnjhealth.com/for-providers/resources/policies/health-services-policies-clinical-affairs-dental-pharmacy-quality
    Health Services Policies – Clinical Affairs, Dental, Pharmacy, Quality, Utilization Management. Horizon Health Services Policies are developed and approved by the …

Home - Horizon NJ Health

    https://horizonnjhealth.com/
    Horizon NJ TotalCare (HMO D-SNP) Managed Long Term Services & Supports (MLTSS) Find out if you qualify for the NJ FamilyCare program. Call 1-800-637-2997 (TTY 711) …

BCBSNJ Medical Policy for - (Medicine) Policy Number

    https://services3.horizon-bcbsnj.com/hcm/MedPol2.nsf/MedicalPolicies/TKEN-6SKN4K
    The purpose of this policy is to provide general information applicable to the administration of health benefits that Horizon Blue Cross Blue Shield of New Jersey and Horizon …

BCBSNJ Medical Policy for - (Radiology) Policy Number

    https://services3.horizon-bcbsnj.com/hcm/MedPol2.nsf/MedicalPolicies/RFMI-A78SNX
    The purpose of this policy is to provide general information applicable to the administration of health benefits that Horizon Blue Cross Blue Shield of New Jersey and Horizon …

Covered Services - Horizon NJ Health

    https://horizonnjhealth.com/why-horizon/covered-services
    Covered Services From doctor visits and dental care, to prescription drugs and more – Horizon NJ Health has you covered. No referrals! As a Horizon NJ Health member, you …

BCBSNJ Medical Policy for - (Surgery) Policy Number - 033

    https://services3.horizon-bcbsnj.com/hcm/MedPol2.nsf/MedicalPolicies/TKEN-6SKN2T
    The purpose of this policy is to provide general information applicable to the administration of health benefits that Horizon Blue Cross Blue Shield of New Jersey and Horizon …

Medical Nutrition Therapy - Horizon NJ Health

    https://www.horizonnjhealth.com/for-providers/news/updates-and-announcements/medical-nutrition-therapy
    Effective July 6, 2022 Horizon NJ Health will implement a new reimbursement policy for billing of Medical Nutrition Therapy (MNT). To be eligible …

Ophthalmology Services - Horizon NJ Health

    https://horizonnjhealth.com/for-providers/resources/policies/reimbursement-policies-guidelines/ophthalmology-services
    Horizon NJ Health shall consider for reimbursement instrument-based ocular screening (CPT codes 99174 and 99177) in children 4 years of age and younger. …



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