BCBS Prefix Lookup
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NSJ

BCBS Prefix NSJ

Horizon Blue Cross and Blue Shield of New Jersey

New Jersey • Medicare Advantage, 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 NSJ

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.

Traditional Indemnity

This prefix includes traditional indemnity coverage. Indemnity plans are the oldest form of health insurance and offer maximum provider choice with no network restrictions. Members pay a percentage of charges after meeting their deductible. Reimbursement is based on reasonable and customary rates for the service area.

HMO

This is a Health Maintenance Organization (HMO) prefix. HMO plans have stricter routing requirements than PPO plans. Members select a PCP who manages their care and issues referrals. Claims for specialist services should include the referral number. Out-of-network claims will typically be denied unless emergency criteria are met.

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

A2Q
Medicare Advantage, PPO, High-Deductible Health Plan (HDHP)
A3Q
EPO, Medicare Advantage, High-Deductible Health Plan (HDHP)
A3Z
Traditional Indemnity, POS, High-Deductible Health Plan (HDHP)
A4K
Medicare Advantage, High-Deductible Health Plan (HDHP), EPO
A4Y
EPO, PPO, Medicare Advantage
A5W
PPO, Medicare Advantage, POS
A5Y
Traditional Indemnity, Medicaid, High-Deductible Health Plan (HDHP)
AEJ
PPO, HMO, Medicare
ASL
AWH
HMO, PPO, Medicare Advantage
B5H
POS, PPO, High-Deductible Health Plan (HDHP)
B5J
HMO, Medicaid, POS
B5T
Medicare Advantage, HMO, Medicaid
B5V
Traditional Indemnity, Medicaid, HMO
B7T
EPO, Medicaid, High-Deductible Health Plan (HDHP)
B7U
POS, Medicare Advantage, Traditional Indemnity
B7V
HMO, PPO, High-Deductible Health Plan (HDHP)
B7W
Medicaid, EPO, Medicare Advantage
B9R
PPO, Traditional Indemnity, High-Deductible Health Plan (HDHP)
BAX
EPO, HMO, Medicare Advantage
BBB
HMO, EPO, Medicare Advantage
BBX
Medicare Advantage, HDHP, POS
BDW
POS, PPO, Medicaid Managed Care
BEO
HDHP, PPO, Medicaid Managed Care
BEW
HDHP, POS, Medicaid Managed Care
BFV
POS, PPO, Medicaid Managed Care
BHY
POS, HDHP, Medicaid Managed Care
BIQ
HDHP, PPO, EPO
BIZ
Medicare Advantage, PPO, HMO
BJB
HMO, PPO, Medicaid Managed Care

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