BCBS Prefix Lookup

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NGA

BCBS Prefix NGA

Horizon Blue Cross and Blue Shield of New Jersey

New Jersey • High-Deductible Health Plan (HDHP), PPO, EPO

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 NGA

HDHP

This prefix is associated with a High-Deductible Health Plan. HDHP members pay more out-of-pocket before insurance coverage begins. These plans are commonly paired with HSA or HRA accounts. When billing, be aware that the member may have significant cost-sharing responsibility until their annual deductible is satisfied.

PPO

This is a Preferred Provider Organization (PPO) prefix. PPO plans are the most common BCBS plan type. Members have the freedom to self-refer to specialists. Claims for in-network services are typically processed faster and reimbursed at higher rates than out-of-network claims.

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.

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

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