Horizon New Jersey Health
Horizon New Jersey Health is a payer organization operating in New Jersey. For an ASC, what matters isn't the logo. It's how Horizon New Jersey Health 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 New Jersey Health analysis
Tell us where to send it. Our team will prepare an analysis of Horizon New Jersey Health 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 New Jersey Health pays
See how Horizon New Jersey Health 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 New Jersey Health's presence spans New Jersey. 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 New Jersey Health and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Horizon New Jersey Health'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 New Jersey Health 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 New Jersey Health
- Payer ID
- 22326 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Horizon New Jersey Health through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Horizon New Jersey Health members are verified before the date of service, through a clearinghouse using payer ID 22326or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Horizon New Jersey Health directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Horizon New Jersey Health the way it pays.
- What is Horizon New Jersey Health's payer ID?
- Horizon New Jersey Health's electronic payer ID is 22326. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Horizon New Jersey Health through a clearinghouse.
- How do ASCs verify eligibility for Horizon New Jersey Health members?
- Eligibility and benefits for Horizon New Jersey Health members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 22326) or through the payer's provider portal.
- Does Horizon New Jersey Health require prior authorization for ASC procedures?
- Prior-authorization requirements for Horizon New Jersey Health are set per plan and per procedure. Confirm whether an authorization is required with Horizon New Jersey Health directly before the date of service.
- What type of payer is Horizon New Jersey Health?
- Horizon New Jersey Health is a payer organization operating in New Jersey.
- How does Horizon New Jersey Health compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Horizon New Jersey Health 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 New Jersey Health paying my ASC below market?
- Put your own Horizon New Jersey Health 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.