Horizon Blue Cross and Blue Shield of New Jersey

Summary

Horizon Blue Cross and Blue Shield of New Jersey is a regional health plan, part of Horizon Healthcare Services, offering dental, medical, and vision coverage operating in New Jersey. Claims route under payer ID 22099, with 6 alternate IDs in use across clearinghouses. Provider enrollment typically takes 45-90 days, with applications through Horizon Provider Portal / NaviNet, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

22099Also seen as 100046, 10041, 2414, BCNJC, CEHPA, NJBCBS

Also known as

BCBS New Jersey, Horizon BCBSNJ, Horizon Blue Cross Blue Shield New Jersey, Horizon Blue Cross Blue Shield of New Jersey, Horizon Blue Cross and Blue Shield of New Jersey - Medicare Advantage

Uses CAQH

YesApplication route: CAQH application only

Service area

NJ

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Horizon Blue Cross and Blue Shield of New Jersey?

The payer ID for Horizon Blue Cross and Blue Shield of New Jersey is 22099. Alternate IDs seen across clearinghouses include 100046, 10041, 2414, BCNJC.

How long does Horizon Blue Cross and Blue Shield of New Jersey provider enrollment take?

Horizon Blue Cross and Blue Shield of New Jersey provider enrollment typically takes 45-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Horizon Blue Cross and Blue Shield of New Jersey require CAQH?

Yes. Horizon Blue Cross and Blue Shield of New Jersey uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Horizon Blue Cross and Blue Shield of New Jersey require ERA enrollment?

Yes. Horizon Blue Cross and Blue Shield of New Jersey requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Horizon Blue Cross and Blue Shield of New Jersey cover?

Horizon Blue Cross and Blue Shield of New Jersey operates in NJ. Coverage can differ by plan and product line, so confirm the specific plan before you file.