BCBS Prefix Lookup

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HCW

BCBS Prefix HCW

Horizon Blue Cross and Blue Shield of New Jersey

New Jersey • EPO, Traditional Indemnity, HMO

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
Provider website: https://www.horizonblue.com

Coverage under prefix HCW

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.

Traditional Indemnity

Traditional indemnity coverage under this prefix is a fee-for-service plan. Members can see any provider without network restrictions or referral requirements. The plan reimburses a set percentage of usual and customary charges. Claims are submitted directly to the payer listed above.

HMO

Under this HMO prefix, the member's coverage is limited to the plan's provider network. Care is coordinated through a primary care physician. Specialist visits require a referral from the PCP. When billing, confirm that the referring provider and the referral authorization number are included on the claim.

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.

Other prefixes for Horizon Blue Cross and Blue Shield of New Jersey

Medicare Advantage, PPO, High-Deductible Health Plan (HDHP)

EPO, Medicare Advantage, High-Deductible Health Plan (HDHP)

Traditional Indemnity, POS, High-Deductible Health Plan (HDHP)

Medicare Advantage, High-Deductible Health Plan (HDHP), EPO

EPO, PPO, Medicare Advantage

PPO, Medicare Advantage, POS

Traditional Indemnity, Medicaid, High-Deductible Health Plan (HDHP)

PPO, HMO, Medicare

HMO, PPO, Medicare Advantage

POS, PPO, High-Deductible Health Plan (HDHP)

HMO, Medicaid, POS

Medicare Advantage, HMO, Medicaid

Traditional Indemnity, Medicaid, HMO

EPO, Medicaid, High-Deductible Health Plan (HDHP)

POS, Medicare Advantage, Traditional Indemnity

HMO, PPO, High-Deductible Health Plan (HDHP)

Medicaid, EPO, Medicare Advantage

PPO, Traditional Indemnity, High-Deductible Health Plan (HDHP)

EPO, HMO, Medicare Advantage

HMO, EPO, Medicare Advantage

Medicare Advantage, HDHP, POS

POS, PPO, Medicaid Managed Care

HDHP, PPO, Medicaid Managed Care

HDHP, POS, Medicaid Managed Care

POS, PPO, Medicaid Managed Care

POS, HDHP, Medicaid Managed Care

Medicare Advantage, PPO, HMO

HMO, PPO, Medicaid Managed Care

Look up another BCBS prefix · All prefixes for Horizon Blue Cross and Blue Shield of New Jersey

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