horizon blue cross blue shield find a therapist

Atenta al problema y receptiva a las preocupaciones del paciente.". If you refer our members for outpatient physical or occupational therapy (PT/OT) services, there are two locations in our Doctor & Hospital Finder where participating PT and OT providers may be found. For easy, fast and secure digital access to your member ID card from anywhere, anytime, download the Horizon Blue app. Please click Continue to leave this website. Stan graduated with a Bachelors in Natural Science from Fordham University and a Doctorate in Physical Therapy from Touro College. -One on One Personal training and sports performance also available He trains clients in-office and at select NYC gyms. "Good all-round attention for core strength, balance.".

Use Our Doctor & Hospital Finder to Locate Participating Physical/Occupational Therapy Providers. Power 2022 award information, visit jdpower.com/awards. Select Other Healthcare Services from the What are you Neck pain To that end, he considers most injuries the result of individuals not having the prerequisites needed to perform the given skills or movements, whether it be a daily activity such as climbing stairs or a specific sport like golf. On average, patients who use Zocdoc can search for a Physical Therapist who takes Horizon Blue Cross Blue Shield of New Jersey insurance, book an appointment, and see the Physical Therapist within 24 hours. Its simple, secure and free. - Certified Strength and Conditioning Specialist (CSCS) WebMore Horizon Blue Cross Blue Shield of New Jersey Management salaries Operations Manager $123,774 per year 2 salaries reported Call Center Supervisor $20.11 per hour 5 salaries reported Director $183,293 per year 8 salaries reported Manager $140,288 per year 9 salaries reported Service Manager $101,923 per year Strategy Manager $58,825 per year If you provide these services and are interested in participating in the Horizon Care@Home program, please call CareCentrix at 1-855-243-3324 for information between 8 a.m. to 6 p.m., ET. I know that both Dr. Glashow and Chris Delehanty treat top athletes, but I felt like they made me a priority and I am grateful.". She also has a variety of clinical experience treating a spectrum of patients in outpatient settings. Zocdoc lets you search specifically for a Physical Therapist who has appointments available before 10:00 am, or after 5:00 pm. Josh is a Certified Strength and Conditioning Specialist and a member of the National Strength and Conditioning Association. She believes in a full-body approach to treatment and always turns her focus beyond just the joint or muscle in pain. horizon hoffmann nj golf golfer morgan teams native pro blue bcbsnj shield benefit foundation jersey steps challenge healthy cross Its Excellent. Dr. Yang attended New York University, where he acquired his doctorate in physical therapy. Ms. Zalpuri is flexible in working with the changing trends in medicine and the healthcare market. Chris has been the owner and director of Physiofitness Physical Therapy since 1996 and has over 20 years of clinical experience in orthopedic and sports therapy. In her free time, Ulin is an avid runner, snowboarder, and foodie and speaks both English and Cantonese fluently. Although she is originally from the Chicagoland area, Mandy is happy to have found a new home in NYC. Dan is a New York University Physical Therapy Program Graduate and has more than 24 years experience in orthopedic and sports physical therapy. Using the latest techniques and evidence-based practices, we help active people improve beyond their pain to reach their full performance potential. Chris philosophy and mission is to rebuild and reignite the physical self, not to settle for the temporary fix; to go deep to uncover the bodys own capacity to heal, strengthen and surpass expectations. WebBlue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands; Outside the United States; Select Zocdoc connects me with capable caring specialists in varied fields when I need them, saving time, fending off anguish and confusion. Need a form? His goal is to teach his clients to move better, without pain and in full range. Her passion for physical therapy centers around the relationships of trust she builds with each patient while working together to achieve personal goals. Through his exercise plan and coaching, I was able to progress back to playing without pain. With Horizon, you have the choice to get the care you need from some of the largest networks of health care professionals across New Jersey and beyond. Communications may be issued by Horizon Blue Cross Blue Shield of New Jersey in its capacity as administrator of programs and provider relations for all its companies. What do you think? Outside of the clinic, he enjoys playing soccer and golf, snowboarding, weightlifting, traveling, and trying new restaurants. The Horizon name and symbols are registered marks of Horizon Blue Cross Blue Shield of New Jersey. ", Ms. JoAnn Yanami is a dedicated physical therapist located in New York, NY. Mandys clinical experience includes orthopedics, geriatrics, vestibular treatment, and inpatient acute care. Nicholas Peragine is a Physical Therapist from Brooklyn, NY who graduated from Touro University with a Doctorate in Physical Therapy in 2022 after having completed his undergraduate studies at the University of Scranton. Use Zocdoc to find physical therapists near you who take Braven Health (Horizon Blue Cross Blue Shield of New Jersey) insurance. Ulin can help clients improve their fitness levels, from losing a few pounds to developing full body strength training programs. To access our Out-of-Network Referral Policy, registered NaviNet users affiliated with participating practices should log on to NaviNet.net, access the Horizon BCBSNJ Plan Central page and: Please note that prior authorization requirements still apply (for home health care services that require prior authorization) to services provided by a home health care provider that is not participating in the Horizon Care@Home program. She enjoyed playing on the womens club soccer team during her time at SLU. "Great office, polite, competent ane efficient staff. Ms. Yanami is available for exams and consultations at City Physical Therapy, PC, where she is renowned for providing thorough medical care for the treatment of a host of conditions, which include foot problems, back problems, spondylolysis, and herniated disks. Indeed.com estimated this salary based on data from 2 employees, users and past and present job ads. Pain and overuse injuries of the knee and ankle The Blue Cross and Blue Shield name and symbols are registered marks of the Blue Cross Blue Shield Association. Our mission is to provide a more personalized and comprehensive One-on-One Physical Therapy experience. Zocdoc only allows patients to write reviews if we can verify they have seen the provider. Providers cannot request to alter or remove reviews. Applicable Products:Commercial PPO/EPO &Exchange POS/EPO, Applicable Products: Commercial HMO & POS, Claims Payment Policies and Other Information. Every provider that appears in search is open to new patients. WebFind BlueCross BlueShield Massage Therapists Go to Provider Search Use the links below to start your search Doctor.com specializes in matching patients with the health care professionals best suited to meet their unique needs. Search Zocdoc let's you see real-time availability for Horizon Blue Cross Blue Shield of New Jersey Physical Therapists. Shoulder injuries, including pain and decreased range of motion He also enjoys training clients to meet their fitness and performance goals. About Nonparticipating Home Health Care Service Providers. "James was able to help me get back to playing volleyball after injuring my lower back and knee. Mandy earned her Doctor of Physical Therapy degree from Saint Louis University after completing her Bachelor of Science in Exercise Science and Minor in Spanish there as well. On weekends, Kate takes advantage of the outdoors with snowboarding, surfing, and hiking. Get responses instantly. WebAsking for help can be challenging, but you are not alone. -Strong People: Powerlifters, CrossFit, Strong Men, and Coaches The Blue Cross and Blue Shield name and symbols are registered marks of the Blue Cross Blue Shield Association. We also specialize in neurological conditions like post stroke rehabilitation, multiple sclerosis and parkinsons disease. She has successfully treated patients with a variety of conditions from prehab and post-operative conditions to tendinopathies and sports injuries. Such hobbies include spinning, hiking, yoga, pilates and playing sports such as volleyball and flag football. I highly recommend James to any athlete who wants to get back to playing sports at a high level!". Smriti Zalpuri-Kumar received her masters degree in physical therapy with an emphasis on orthopedics from the University of Indianapolis. Joshs clinical experience includes orthopedics, sports rehabilitation, acute rehabilitation, and adult neurological rehabilitation. You We offer individual therapy, marriage counseling, family On average, patients who use Zocdoc can search for a Therapist / Counselor in San Antonio who takes Blue Cross Blue Shield insurance, book an He identified areas I needed to improve, including strength, mobility, biomechanics etc. Interestingly, she likes to spend her spare time competing in triathlon races herself, "Excelente profesional. Register to attend one of our educational webinars. pain medicine fellowship at Loma Linda University in Loma Linda, California. He has led multiple workshops across NYC to educate professional dancers, athletes and fitness instructors on the importance of checking in with your body to make sure its moving optimally. Many Horizon Blue Cross Blue Shield of New Jersey Physical Therapists offer appointments on Saturdays and Sundays. Search Location Insurance Find an in-network doctor from over 1,000 insurance plans Add your insurance to see in -NYS Licensed Physical Therapist with 24 Years Experience All therapy is hands on and individualized to your specific needs to ensure fastest recovery and prevention from future injuries. She completed her bachelor's degree at Pacific Union College in Angwin, CA and then earned her masters in physical therapy degree from Andrews University. - SFMA (Selective Functional Movement Assessment) Certified Stan is a Certified Manual Physical Therapist credentialed by the North American Institute of Orthopedic Manual Therapy (NAOIMT). Participating Horizon Care@Home providers may be located by visiting our Doctor & Hospital Finder. This website does not display all Qualified Health Plans available through Get Covered NJ. We take your health and wellness seriously and believe that wellness is key to happiness. The Blue Cross and Blue Shield name and symbols are registered marks of the Blue Cross Blue Shield Association. Power 2022 award information, visit jdpower.com/awards. Fall prevention -Musicians: From the high school level to NYs Elite Music Colleges, and Broadway. Josh has a passion for staying active and helping people achieve their own fitness goals. Horizon Blue Cross Blue Shield of New Jersey, see the Physical Therapist within 24 hours, Horizon Blue Cross Blue Shield of New Jersey Physical Therapists, find Horizon Blue Cross Blue Shield of New Jersey Physical Therapists, Horizon Blue Cross Blue Shield of New Jersey Chiropractors, Horizon Blue Cross Blue Shield of New Jersey Dentists, Horizon Blue Cross Blue Shield of New Jersey Dermatologists, Horizon Blue Cross Blue Shield of New Jersey Doctors, Horizon Blue Cross Blue Shield of New Jersey Ear, Nose & Throat Doctors, Horizon Blue Cross Blue Shield of New Jersey Eye Doctors, Horizon Blue Cross Blue Shield of New Jersey OB-GYNs, Horizon Blue Cross Blue Shield of New Jersey Psychiatrists, Horizon Blue Cross Blue Shield of New Jersey Psychologists, Horizon Blue Cross Blue Shield of New Jersey Therapists/counselors, Horizon Blue Cross Blue Shield of New Jersey Urgent Care, Anterior Cruciate Ligament (ACL) Rehabilitation, Blue Cross Blue Shield Physical Therapists, Anthem Blue Cross Blue Shield Physical Therapists, UnitedHealthcare Oxford Physical Therapists, Empire Blue Cross Blue Shield (Health) Physical Therapists, EmblemHealth (formerly known as HIP) Physical Therapists, EmblemHealth (formerly known as GHI) Physical Therapists, Pediatric Physical Therapy Near Me Chicago IL, Pediatric Physical Therapy Near Me New York NY, Healthkey Group - Acupuncture, Fertility, PT, University of Indianapolis, Master's in Physical Therapy, State University of New York, Stony Brook, Masters in Physical Therapy, University of Scranton, Doctor of Physical Therapy, New York University, Doctor of Physical Therapy, Saint Louis University, St. Louis, Doctor of Physical Therapy, Saint Louis University, Madrid (Bachelor's), City University of New York, Hunter College, Doctor of Physical Therapy, City University of New York, Lehman College (Bachelor's), Long Island University, Master's in Kinesiology, Touro University, Doctor of Physical Therapy, Andrews University, Master's in Physical Therapy, New York University, Bachelor's in Physical Therapy, National Strength and Conditioning Association, American Board of Physical Medicine and Rehabilitation, Pain Medicine (American Board of Physical Medicine and Rehabilitation), Medical School - Medical College of Wisconsin, Milwaukee, Doctor of Medicine, Loma Linda University, Fellowship in Pain Management, Schwab Rehabilitation Hospital, Residency in Physical Medicine and Rehabilitation, American Academy of Physical Medicine and Rehabilitation, American Society of Pain and Neuroscience, National Commission on Certification of Physician Assistants, University of Medicine and Dentistry of New Jersey, Master's in Physician Assistant Studies, Northeastern University, Doctor of Physical Therapy, State University of New York, Stony Brook, Doctor of Physical Therapy, Loma Linda University, Doctor of Physical Therapy, Rutgers, The State University of New Jersey, Doctor of Physical Therapy, State University of New York, Downstate Medical Center, Bachelor's in Physical Therapy, Touro College and University System, Doctor of Physical Therapy. The Horizon name and symbols are registered marks of Horizon Blue Cross Blue Shield of New Jersey. dropdown menu. WebAll of our therapists in the group have different areas of specialty so that each patient's individual needs are met. Dr. Nidhi Patel is a licensed Physical therapist and received her master's degree from Long Island University. In his spare time Josh can be found playing basketball, volleyball and golf, traveling, eating and cooking and supporting one of his many Boston sports teams. Over the years, Dan has worked with many martial artists, athletes, weightlifters, and older NYC residents. Zocdoc only allows patients to write reviews if we can verify they have seen the provider. You need to schedule an appointment for behavioral health visits. Return to sport (swimming, running, triathlons, biking, Crossfit) During his time there, Brian was highly involved in various community service projects and intramural sports as both a player and referee. The content provided here and elsewhere on the Zocdoc site or mobile app is provided for general informational purposes only. Same-day appointments are often available, you can search for real-time availability of Physical Therapists who accept Horizon Blue Cross Blue Shield of New Jersey insurance and make an appointment online. - Blood Flow Restriction Rehabilitation Bethany played two years of basketball and one year of softball for the Lehman Lightning. WebHorizon Blue Cross Blue Shield of New Jersey Workforce Manager in New Jersey makes about $69,000 per year. Participating physicians and other health care professionals who do not comply with our Out-of-Network Referral Policy will be at risk of an audit regarding their compliance with Horizon BCBSNJ policies and procedures. You can search for Horizon Blue Cross Blue Shield of New Jersey Physical Therapists by symptom or visit reason. Some common conditions that she sees on a daily basis are joint pains (neck, shoulder, lower back, knees etc), ligament sprains (ankle, knee etc), musculoskeletal deformities like Scoliosis, conditions like trigger finger, Tennis and golfers elbow, torticollis, plantar fasciitis, pain due to Rheumatoid Arthritis or Osteoarthritis, and many more. It is not intended as, and Zocdoc does not provide, medical advice, diagnosis or treatment. She is fluent in English, Mandarin, and Cantonese, making her accessible to patients from various cultural backgrounds. No upcoming availability on Zocdoc at this location for the appointment type selected. She enjoys staying active through running, HIIT training, pick-up sports games, bike rides, and hiking. That way, youll only see Physical Therapists who match your preferences. "Stan will change your life. To speak with one of Horizon Blue Cross Blue Shield of New Jersey's MTM team members, call 1-888-706-2820, Monday through Friday, between 9 a.m. and 5:00 p.m., ET. Every time a patient completes an appointment booked on Zocdoc, theyre invited to review their experience. With a 20-year history as a type 1 diabetic, Chris is also passionate about maintaining a healthy and active lifestyle through exercise and nutrition and uses his experience to supplement his treatment plans. If you are While completing his studies, Brian and his fellow colleagues presented at the national physical therapy conference for their research on gait analysis with Parkinsons Disease. James is passionate about building close relationships with his clients and guiding them on their journey of recovery and performance. Given the high quality and customization of our services, we are out of network with all insurance carriers. Products and services are provided by Horizon Blue Cross Blue Shield of New Jersey, Horizon Insurance Company, Horizon Healthcare of New Jersey, Braven Health, and/or Horizon Healthcare Dental, Inc., each an independent licensee of the Blue Cross Blue Shield Association. He sees patients of all ages at the offices of Dr. Jingling Tang, MD, and offers treatments for a number of conditions. In her free time, she can be found dabbling in any one of her hobbies: tennis, golf, surfing, volleyball, or finding another restaurant or country to visit. Free interview details posted anonymously by Horizon Blue Cross Blue Shield of New Jersey interview candidates. This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jerseys Health Insurance Marketplace. Our forms are located in one convenient location. WebMost therapists and psychiatrists don't accept insurance. I was able to make an appointment with the therapist of my choice easily and was seen quickly. Progressive Neurological Disorders (i.e. Please note that these forms are to be used by Federal Employee Program Members only, Orally Administered Cancer Medication Coverage Law, Orally Administered Cancer Medication Coverage Law FAQs, 2023 Health Insurance Marketplace Formulary, 2022 Health Insurance Marketplace Formulary, Office-Administered Specialty Medications List, Prior Authorization/Medical Necessity Determination medicine list, Patient Protection and Affordable Care Act Preventive Drug List, Self-Administered Specialty Medicine List, Specialty Pharmaceutical Pharmacy Benefit, Specialty Pharmaceutical for Office Administration, Specialty Rx Program for Infertility Treatment, Authorization For Disclosure OR Request For Access To Protected Health Information, HCR (Health Care Reform) Preventive Care Information Guide, How to Find an In-Network Provider, Care Facility or Pharmacy, Calculator for the Out-of-Network Consumer Protection, Transparency, Cost Containment and Accountability Act, Lower your out-of-pocket expenses by staying in network, The Role of Your Primary Care Physician or Personal Doctor, Third Party Designation for Senior Citizen Insureds, Urgent care centers: an alternative to the Emergency Room, Your Rights and Protections Against Surprise Medical Bills. Webrabbit grooming table; trinity prep football; Loja wyndham grand clearwater room service menu; does touching breast break wudu; norwegian cruise line job fair Bethany has a wide range of experience over the last eight years of her career, including school-based physical therapy as well as outpatient orthopedics. 2022Horizon Blue Cross Blue Shield of New Jersey, Three Penn Plaza East, Newark, New Jersey 07105. Josh specializes in sports-related injuries like IT band syndrome, plantar fasciitis, achilles tendonitis and hamstring strains. You will be given all the exercises and equipment needed to perform your home exercises starting on day one and also given your therapists direct number to call 24 hours a day if you have any questions. She enjoys working closely with her patients and believes listening is important to understanding their needs. Whether its shoulder or hip dysfunction, plantar fasciitis, tennis elbow, persistent low back pain, orthotic management or post-surgical rehab, Chris and his team provide real, hands-on bodywork to correctly manage any orthopedic issue. To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ. WebGene Therapy; Knee and Hip Replacement; Maternity Care; Spine Surgery; Substance Use Treatment and Recovery; Transplants; Where You Go Matters. I was struggling with shoulder pain and migraines and going to PT here weekly saved me! Avid Crossfitter and cycler, "I will definitely be seeing Dr.Lantzy again. America is facing an affordability crisis when it comes to our health care. As a healthcare partner to one-in-three Americans, the Blue Cross and Blue Shield Association is embracing the opportunity to improve lives across the United States, with President and CEO Kim Keck leading the effort. She is passionate about womens health including pelvic floor dysfunction, postpartum rehabilitation, and pregnancy rehabilitation. Or, if you would like to remain in the current site, click Cancel. I use specific joint and muscle assessment related to an injury in order to improve each patient's daily function and to achieve his or her physical therapy goals. The Horizon name and symbols are registered marks of Horizon Blue Cross Blue Shield of New Jersey. - Fitness and wellness services Acute and Chronic low back pain Login to BCBSNJ member portal and find Just choose your carrier and plan from the drop-down menu at the top of the page. All in all this is a wonderful app. Nidhi belives that the intention with which the treatment is given to patients matters! James is a certified USA Track and Field Level 1 coach, certified Road Runners Club of America running coach, certified USA Weightlifting Level 1 coach, certified Functional Range Conditioning (FRC) mobility specialist, and certified Selective Functional Movement Assessment (SFMA) practitioner. You will feel way better after your first session.". WebMD is a registered mark of WebMD, Inc. WebMD provides health assessment tools and wellness education to our members. WebMD is independent from and not affiliated with Horizon Blue Cross Blue Shield of New Jersey. Helping our members achieve their best health is what drives us every day. Review information about the Horizon Behavioral Health program. His dream is to integrate the art and science of physical therapy into our everyday lives to keep people of all ages going strong. His clinical experience provided him with a well-rounded background for various treatments including orthopedics, subacute rehabilitation, acute care, and working with premature infants in the NICU. Read verified reviews from patients and see real-time availability for every doctor, Choose your insurance to find nearby in-network doctors who accept your plan, Book appointments online and see the same great doctors in-person or with a video visit. Extremely knowledgeable and helpful!". The entire staff is gracious, thoughtful, kind and excellent. She is also certified by the National Commission on Certification of Physician Assistants. -Artists: Painters, Sculptors, Photographers Please note that these forms are to be used by Federal Employee Program Members only, Referral Requirements for Services Not Related to COVID-19, Pre-Certification/Prior Authorization requirements for Post-Acute Facility Admissions, Telemedicine Cost Share Waiver for Non-COVID-19-Related Services to End, Telemedicine Cost Share Waiver for Non-COVID-19-Related Services to End for Self-Insured Health Plans, Submitting Pharmacy Claims for COVID-19 Vaccinations, Reminder: Select one method for COVID-19 and Influenza Testing, Antibody testing: FDA and CDC do not recommend use to determine immunity, June 2021 Updates: COVID-19 treatment cost share waiver, Reminder: Use correct codes when evaluating for COVID-19, Submitting claims for COVID-19 vaccines delivered in non-traditional medical settings, For Essential Workers, COVID-19 Treatment Covered Under Workers Compensation Benefits, COVID-19 vaccine administration reimbursement at UCCs, COVID-19 vaccines will be covered at 100%, Reminder to use specific codes when evaluating for COVID-19, COVID-19 Update: Telemedicine Reimbursement Policy Addenda, Join a Horizon BCBSNJ or Horizon NJ Health Network (Physicians and Other Healthcare Professionals ), Join the Horizon BCBSNJ Network (Ancillary Providers), Join the Horizon NJ Health Network (Ancillary Providers), Blue Cross and Blue Shield of Minnesota: New PA requirement for Nusinersen (Spinraza), Blue Cross Blue Shield of Massachusetts: BCBSMA High Tech Radiology and Sleep UM Programs, Arkansas BlueCross BlueShield: AIM Medical Oncology Program to be Implemented for Tyson Foods Enrollees, Arkansas BlueCross BlueShield: Six specialty medications to need prior approval beginning April 2018, Blue Cross Blue Shield of Massachusetts: Radiology and Sleep Apnea Program Expansion, Blue Cross Blue Shield of Minnesota: Implementation of a Medical Drug Exclusions List, BlueCard Medical Policy/Pre-Certification Info, Braven Health Electronic Data Interchange (EDI), Horizon BCBSNJ Electronic Data Interchange (EDI), Cardiology Imaging Program Provider Questions and Answers, Medical Information Requirements for Programs Administered by eviCore, Medical Necessity Determination (MND) Review of Molecular and Genomic Diagnostic Testing Services Frequently Asked Questions, Molecular and Genomic Testing Procedure Codes, Musculoskeletal Program for Pain Management Services, Radiation Therapy Program Questions and Answers, Cardiology & Radiology Imaging Procedure Codes, Codes Considered Inclusive to an Imaging Service, Maternal Fetal Medicine Evaluation Coding, Radiology/Imaging Guidelines for Emergency Room Preliminary Reads (Wet Reads), Radiology/Imaging Program Guidelines for Use of Modifier 59, Correct Coding Rules Bank for Radiology, Cardiology and Ultrasound Services, Code Pairs Added to this List Effective January 1, 2023, Code Pairs Removed from this List Effective December 31, 2022, Code Bundling Rules for Radiology, Cardiology and Ultrasound Services, Prior Authorization/Pre-Service Registration, Medical Injectables Program Provider Questions and Answers, Specialty Pharmaceuticals for Office Administration, Braven Health℠ Medicare Advantage Plans, New Jersey Infection Prevention Partnership, Remote Patient Monitoring for COPD Provided by HGE Health, How Risk Adjustment Benefits You and Your Patients, Referral Process Using the Interactive Voice Response System, Effective use of the Interactive Voice Response System, Surgical and Implantable Device Management Program, About the Surgical and Implantable Device Management Program, Surgical and Implantable Device Management Program for Cardiac Surgeries Frequently Asked Questions Updated: March 25, 2021, Surgical and Implantable Device Management Program Orthopedic Services Frequently Asked Questions, Using Out-of-Network Providers in Surgical Services, Eligible Laboratory Procedures Rendered by a Practice, CMS Audits to Validate Directory Information, How to Make Demographic Updates: Participating Ancillary Providers, Horizon Data Submission Template for Ancillary Providers, Exceptions to Using Horizon Data Submission Template, Supporting Documentation Requirements for Practice-level Demographic Updates, Supporting Documentation Requirements for Practitioner Demographic Updates, Supporting Documentation for Ancillary Provider Demographic Updates, How to Make Demographic Updates: Participating Practices, Specific Criteria You Should Confirm is Accurate and Up to Date, Initiating Demographic Updates: Nonparticipating Providers, Time Limits for Filing Inquiries/Complaints, Appeals of Non-Utilization Management Determinations, Appeals of Utilization Management/Medical Management Determinations, Appeals of Post Service Medical Necessity Determinations, Allowable Practice Locations for Pathologists, Appointment Availability Access Standards for Primary Care-Type Providers, ObGyns, Specialists and Behavioral Health Providers, Credentialing and Recredentialing Policy for Ancillary and Managed Long Term Support Service (MLTSS) Providers, Credentialing and Recredentialing Policy for Participating Physicians and Healthcare Professionals, Diagnostic Imaging Privileging by Participating Provider Practice Specialty, EDI and NaviNet Claims Submission Requirement, Material Adverse Change (MAC) Notification Policy, Outlier Audit Programs: Post Payment and Pre-Payment, Physician and Healthcare Professional Counseling and Termination Policy - Professional Competency, Participation Status in Products that Utilize Tiering and/or Subset of an Existing Horizon Network, Practitioner Office Site Quality and Medical/Behavioral Health Record Keeping Standards, Provider Outlier Program Frequently Asked Questions, SHBP/SEHBP Inpatient Readmission Reimbursement, Standards for All Types of Medical and Dental Diagnostic Radiology and Imaging Facilities, Use of Horizon Hospital Network Performance Data, Add-on Payment for COVID-19 Diagnostic Testing Run on High Throughput Technology (U0005), Ambulatory Electrocardiographic Monitoring, Bariatric Surgery Billed With Hiatal Hernia Repair, Behavioral Health Services Rendered by Supervised Practitioners, Billing Guidelines for Maternity Services, Cardiovascular Implant Device Monitoring Services, Claims Requiring Additional Documentation, Continuous Positive Airway Pressure or Bi-level Positive airway Pressure (CPAP/BiPAP) Supplies, COVID-19 Testing and Testing Related Services, Daily Management of Epidural or Subarachnoid Continuous Drug Administration, Daily Maximum Units for Surgical Pathology and Microscopic Examination, Distinct Procedural Service Modifiers (59, XE, XP, XS, XU), Duplicate Claim Logic for Independent Laboratory Services, Evaluation and Management Services with Chiropractic Manipulative Treatment, Evaluation and Management Services with Osteopathic Manipulative Treatment, Evaluation and Management Services billed with Global Radiology, Stress Test, Stress Echo, Myocardial Profusion Imaging, Frequency of Care Coordination Services and ESRD Procedures, Horizon Fee Schedule Updates based on Third Party Sources, Hospital Non-Patient Laboratory Services Sample Fees, Laser Treatment of Psoriasis or Parapsoriasis, Medicare Advantage Hospital Sequestration Reimbursement, Mutually and Non-Mutually Exclusive NCCI Supplemental Edits, Outpatient Facility Code Edits: Bundling and Revenue Codes, Lab codes when billed with other services, Outpatient Laboratory Claims: Referring Practitioner Required, Outpatient Services Prior to Admission or Same-Day Surgery, Physician Extenders Non-Surgical Services, Pre-Payment Coding Reviews Documentation Requests, Pre-Payment Documentation Requests: Facility Claims, Post Payment Documentation Requests: Facility Claims, Pulmonary Diagnostic Procedures when billed with E&M Codes, Reimbursement and Billing Guidelines for Anesthesia Claims, Removal of Impacted Cerumen Requiring Instrumentation, Screening and Diagnostic Mammography & 3D Tomosynthesis, Telemedicine Services Reimbursement Policy: Temporary Addendum for Horizon BCBSNJ Commercial/ASO plans and products, Telemedicine Services Reimbursement Policy: Temporary Addendum for Horizon Medicare Advantage, Urinalysis with Evaluation and Management (E&M) Services, Prior Authorization Procedure Search Tool, Consumer Assessment of Healthcare Providers and Systems (CAHPS), Focusing on Your Horizon and Braven Health Patients Experience: Tools to Help You, Discussion Checklist for CAHPS and HOS Surveys, HEDIS Measure Guidelines for Behavioral Health Providers, Follow-Up Care for Children Prescribed ADHD Medication (ADD), Antidepressant Medication Management (AMM), Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM), Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP), Follow-Up After Emergency Department Visit for Substance Use (FUA), Follow-Up After Hospitalization for Mental Illness (FUH), Follow-Up After High-Intensity Care for Substance Use Disorder (FUI), Follow-Up After Emergency Department Visit for Mental Illness (FUM), Initiation and Engagement of Substance Use Disorder Dependence Treatment (IET), Adherence to Antipsychotic Medications for Individuals with Schizophrenia (SAA), Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD), Cardiovascular Monitoring for People with Cardiovascular Disease and Schizophrenia (SMC), Diabetes Monitoring for People with Diabetes and Schizophrenia (SMD), HEDIS Measurement Year (MY) 2023 Provider Tips for Optimizing HEDIS Results, Adherence to Antipsychotic Medications for Individuals With Schizophrenia (SAA), Adults Access to Preventive/Ambulatory Health Services (AAP), Antibiotic Utilization for Respiratory Conditions (AXR), Appropriate Testing for Children with Pharyngitis (CWP), Appropriate Treatment for Upper Respiratory Infection (URI), Avoidance of Antibiotic Treatment for Acute Bronchitis/ Bronchiolitis (AAB), Blood Pressure Control for Patients With Diabetes (BPD), Cardiovascular Monitoring for People With Cardiovascular Disease and Schizophrenia (SMC), Child and Adolescent Well-Care Visits (WCV), Childhood Immunization Status (CIS) (CIS-E), Colorectal Cancer Screening (COL) (COL-E), Deprescribing of Benzodiazepines in Older Adults (DBO), Depression Remission or Response for Adolescents and Adults (DRR-E), Depression Screening and Follow-Up for Adolescents and Adults (DSF-E), Diabetes Monitoring for People With Diabetes and Schizophrenia (SMD), Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD), Eye Exam for Patients With Diabetes (EED), Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA), Follow-Up After Emergency Department Visit for People With Multiple High-Risk Chronic Conditions (FMC), Follow-Up After High- Intensity Care for Substance Use Disorder (FUI), Follow-Up Care for Children Prescribed ADHD Medication (ADD-E), Hemoglobin A1c Control for Patients With Diabetes (HBD), Immunizations for Adolescents (IMA) (IMA-E), Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET), Kidney Health Evaluation for Patients with Diabetes (KED), Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM-E), Osteoporosis Management in Women Who Had a Fracture (OMW), Osteoporosis Screening in Older Women (OSW), Persistence of Beta- Blocker Treatment After a Heart Attack (PBH), Pharmacotherapy Management of COPD Exacerbation (PCE), Postpartum Depression Screening and Follow-Up (PDS-E), Prenatal Depression Screening and Follow-Up (PND-E), Statin Therapy for Patients with Cardiovascular Disease (SPC), Statin Therapy for Patients with Diabetes (SPD), Unhealthy Alcohol Use Screening and Follow-Up (ASF-E), Use of Imaging Studies for Low Back Pain (LBP), Use of Opioids from Multiple Providers (UOP), Use of Spirometry Testing in the Assessment and Diagnosis of COPD (SPR), Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E), Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC), Well-Child Visits in the First 30 Months of Life (W30), Policies, Procedures and General Guidelines, Programs Administered by eviCore healthcare, Participating Physician and Other Health Care Professional Office Manual, Behavioral Health Network Specialist Assignments, Eligibility and Benefits Cost Share Estimator, Womens Health Results and Recognition Program, Provider Guidelines: Non-Standard (Medical Record) Supplemental Data for HEDIS Gap Closure, How to Submit Supplemental Data to Horizon, Health Outcomes Survey: How You Can Drive Results, Radiation Therapy Medical Necessity Determination, Pregnancy-Newborn Episodes of Care Program: Helping to Improve Outcomes for Moms and Newborns, As Mental Health Needs Continue To Rise, So Do Innovative Virtual Services, Treat Knee, Back, and Hip Pain with Orthotic Device that Helps Avoid Invasive Procedures, Horizon Neighbors in Health Program Supports Struggling Families, Bariatric Surgery Value-Based Program Helps Members with Weight Loss, Dental Providers Benefit from Dedicated Horizon Liaisons, Connecting with parents on the importance of early childhood health screenings and vaccinations, Episodes of Care Program Gives Cancer Patients the Care They Need, HealthSphere gives a behavioral health provider the full patient view, Home-Delivered Meals Help Braven Health℠ Patients, Horizon Neighbors in Health Program Helps At-Risk Members in Camden, How a value-based primary care provider helps the New Jersey Vaccination Program, Improving Health Equity through Increased Access to Prenatal Care Across New Jersey, Making Pathways in Innovating and Advancing Maternal Health, Pharmacy Collaboration leads to better patient outcomes and cost savings, Providing Innovative Cancer Care - Expanding Episodes of Care, Telehealth after COVID-19 Many doctors agree it's here to stay, Value-based care -- transforming health care with better collaboration and improved health outcomes, When planning, collaboration and crisis merge - a medical practice's successful response to COVID-19.