Feb 7, 2024 | Insurance News
Dear ANJC Membership,As you know from previous ANJC emails, Availity Essentials will be the new provider portal for Horizon Blue Cross Blue Shield of New Jersey, Braven Health℠ and Horizon NJ Health.While NaviNet access is still available, please take the time now to...
Jan 19, 2024 | Insurance News
Dear ANJC Membership, Some of you have been asking for clarification on a recent requirement by most carriers related to taxonomy codes. The ZZ qualifier identifies the provider taxonomy code in the carriers’ software. This has been required for over a year;...
Dec 19, 2023 | Insurance News
Be sure to review the newly released 2024 Medicare Fee Schedule!Details like the deductible ($240) and specific PAR and NON-PAR fees for various codes and localities have been updated. Whether in the 01 Region or the 99 Region, make sure you’re aware of the...
Nov 12, 2023 | Insurance News
Medicare’s recent updates on how they process claims have caused some confusion about how to submit a clean claim and respond to rejected claims. We thought using this entire edition of The Back Channel dedicated to your Medicare questions and concerns was in...
Nov 1, 2023 | Insurance News
Over the years, members have reported receiving a letter, fax, or phone call from Inovalon on behalf of Horizon. Inovalon is a company that has historically performed what are called Risk Adjustment Reviews for various carriers.Risk Adjustment Reviews essentially...
Oct 25, 2023 | Insurance News
Navigating the intricate world of insurance claims can be daunting. That’s why our ANJC Insurance Team took center stage at the recent 2023 ANJC Fall Symposium to shed light on the complexities of carrier appeals for major providers, including Horizon, UHC,...
