Horizon New Jersey Health
dentalmedical
Summary
Horizon New Jersey Health is a dental and medical payer operating in New Jersey. Claims route under payer ID 22326, with 4 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
22326Also seen as 10337, 1709, 6534, HZMRCY- Also known as
- Horizon NJ Health, Mercy Health Plan of New Jersey
- Service area
- NJ
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Horizon New Jersey Health?
- The payer ID for Horizon New Jersey Health is 22326. Alternate IDs seen across clearinghouses include 10337, 1709, 6534, HZMRCY.
- Does Horizon New Jersey Health require ERA enrollment?
- Yes. Horizon New Jersey Health requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Horizon New Jersey Health cover?
- Horizon New Jersey Health operates in NJ. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Horizon New Jersey Health offer?
- Horizon New Jersey Health covers dental and medical.
- Can I submit claims to Horizon New Jersey Health electronically?
- Yes. Horizon New Jersey Health is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.