Horizon Blue Cross and Blue Shield of New Jersey
Horizon Blue Cross and Blue Shield of New Jersey is a Blue Cross Blue Shield-affiliated health plan operating in Delaware, Florida, New Jersey, and 3 more states. For an ASC, what matters isn't the logo. It's how Horizon Blue Cross and Blue Shield of New Jersey pays: where it runs rich, where it runs thin, and how its reimbursement compares with peer plans for the same procedures.
Pilot Analysis
Get the complete Horizon Blue Cross and Blue Shield of New Jersey analysis
Tell us where to send it. Our team will prepare an analysis of Horizon Blue Cross and Blue Shield of New Jersey covering rates by code, market position, and underpaid areas, and email it to you within 5-10 business days. Need it faster? Book a demo.
What Insights reveals
How Horizon Blue Cross and Blue Shield of New Jersey pays
See how Horizon Blue Cross and Blue Shield of New Jersey reimburses across procedures and markets, benchmarked against the peer plans competing for the same cases. Not a raw rate sheet, a read on where it sits.
Geographic footprint
Horizon Blue Cross and Blue Shield of New Jersey's presence spans Delaware, Florida, New Jersey, and 3 more states. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Horizon Blue Cross and Blue Shield of New Jersey and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Horizon Blue Cross and Blue Shield of New Jersey's volume, so you know where a rate change moves the needle.
Whether you're an ASC benchmarking a contract or a provider team looking Horizon Blue Cross and Blue Shield of New Jersey up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Horizon Blue Cross and Blue Shield of New Jersey
- Payer ID
- 22099 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Horizon Blue Cross and Blue Shield of New Jersey through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Horizon Blue Cross and Blue Shield of New Jersey members are verified before the date of service, through a clearinghouse using payer ID 22099or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Horizon Blue Cross and Blue Shield of New Jersey directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Horizon Blue Cross and Blue Shield of New Jersey the way it pays.
- What is Horizon Blue Cross and Blue Shield of New Jersey's payer ID?
- Horizon Blue Cross and Blue Shield of New Jersey's electronic payer ID is 22099. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Horizon Blue Cross and Blue Shield of New Jersey through a clearinghouse.
- How do ASCs verify eligibility for Horizon Blue Cross and Blue Shield of New Jersey members?
- Eligibility and benefits for Horizon Blue Cross and Blue Shield of New Jersey members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 22099) or through the payer's provider portal.
- Does Horizon Blue Cross and Blue Shield of New Jersey require prior authorization for ASC procedures?
- Prior-authorization requirements for Horizon Blue Cross and Blue Shield of New Jersey are set per plan and per procedure. Confirm whether an authorization is required with Horizon Blue Cross and Blue Shield of New Jersey directly before the date of service.
- What type of payer is Horizon Blue Cross and Blue Shield of New Jersey?
- Horizon Blue Cross and Blue Shield of New Jersey is a Blue Cross Blue Shield-affiliated health plan operating in Delaware, Florida, New Jersey, and 3 more states.
- How does Horizon Blue Cross and Blue Shield of New Jersey compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Horizon Blue Cross and Blue Shield of New Jersey pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Horizon Blue Cross and Blue Shield of New Jersey paying my ASC below market?
- Put your own Horizon Blue Cross and Blue Shield of New Jersey contract next to the peer benchmark in DataLily AI and you'll see the gap by procedure and market, the fastest way to know whether you're leaving money on the table.