If you have any questions, contactVBA provider services at (844) 839-5122. VBA has their own dedicated website with information you need as a provider. ![]() ©2023 Horizon Blue Cross Blue Shield of New Jersey, Three Penn Plaza East, Newark, New Jersey 07105. ![]() Vermont Blue Advantage (VBA) is our Medicare Advantage plan serving both Vermonters and Vermont employers. Horizon Blue Cross Blue Shield of New Jersey. If you have any questions or need help locating information, our responsive services team is available to help at clicking on the Vermont Blue Advantage link in the menu, you will leave the Blue Cross and Blue Shield of Vermont website. In addition, we provide links to valuable resources throughout our website, such as member preventive care benefits, our academic detailing and prescription support services, and more. Program Timely Filing Requirements Utilization Management Digital Member ID. Independent licensees of the Blue Cross Blue Shield Association, an association of. A significant claim edit is an edit that Horizon Blue Cross Blue Shield of New Jersey reasonably believes, will cause the denial or reduction in payment for a particular CPT Code or HCPCS Level II Code more than two-hundred and fifty (250) times per year on the initial review of submitted claims. Horizon Blue Cross Blue Shield New Jersey Pre-Approval Requirements Weight. ![]() Throughout the webpages within this section, we provide the information, resources, and updates needed to help serve you, your practice, and our members effectively-from how to enroll in our network and ensuring your directory information is updated to accessing our forms and policies. Reminder- we will consider reimbursement of a claim that has been denied due to failure to meet timely filing if you can: 1) provide documentation that the claim was submitted within the timely filing requirements or 2) demonstrate good cause exists.
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