F3U

BCBS Prefix F3U

Horizon Blue Cross and Blue Shield of New Jersey

New Jersey • Traditional Indemnity, EPO, Medicare Advantage

Billing essentials

Provider phone
1-800-624-1110
Electronic payer ID
22099
Claims mailing address
P.O. Box 820, Newark, NJ 07101
Timely filing limit
365 daysCompare all plans
Prior authorization phone
(201) 355-9800

Coverage under prefix F3U

Traditional Indemnity

Traditional indemnity coverage means the member has fee-for-service insurance with no network limitations. Any licensed provider can be seen without referrals. Claims are reimbursed based on usual, customary, and reasonable (UCR) charges. The member typically pays a deductible and a percentage of allowed charges.

EPO

Under this EPO prefix, the member has no out-of-network coverage for routine care. However, unlike HMO plans, no referral is needed to see a specialist within the network. When billing, confirm the provider's network participation status with the plan before submitting the claim.

Medicare Advantage

This prefix includes Medicare Advantage coverage. MA plans follow CMS guidelines for timely filing (365 days from date of service), which may differ from the commercial plan's deadline. The payer ID for Medicare Advantage claims may differ from the standard commercial payer ID. Verify before submitting.

About Horizon Blue Cross and Blue Shield of New Jersey

Largest health insurer in New Jersey serving over 3.8 million members with commercial, Medicare and Medicaid plans.