BCBS Prefix Lookup
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NTR

BCBS Prefix NTR

Horizon Blue Cross and Blue Shield of New Jersey

New Jersey • Traditional Indemnity, HMO, 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 NTR

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.

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.

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

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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