Administered Claims on Behalf of Horizon

Dear ANJC Membership,The ANJC Insurance Team has been in active communication with Horizon regarding the market-based pricing for out-of-network claims administered by their third-party company on behalf of Horizon BCBS NJ. We have been aggressively pushing for...

Investigating Aetna-MA Recoupment Notices—UPDATE

Dear ANJC Membership, The ANJC Insurance Team has been aggressively seeking a resolution to the denials and recoupment requests of members’ orthotic claims.Today, the ANJC Insurance Team received an update from Aetna regarding your concerns. The Aetna contact has...