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Horizon NJ Health (New Jersey Medicaid)

MedicaidNon-ParticipatingEDI Enrollment Required

Also covers / subsidiaries: Horizon NJ Health, NJ FamilyCare (Horizon)

Core Payer & Clearinghouse Profile

Electronic Payer ID

22326

22326 is the Horizon NJ Health EDI payer ID for 837 claims. New Jersey Medicaid only. (New Jersey)

Timely Filing Limit (TFL)

180 calendar days from DOS; corrected claims within 365 days from DOS

Appeal Window

Varies — confirm via portal / clearinghouse

Clearinghouse Gateway

National Clearinghouse / EDI Gateway

Provider Services

800-397-1630

Claims Fax

Varies — confirm via portal / clearinghouse

Claims Address

Horizon NJ Health, Claims Processing Department, P.O. Box 24078, Newark, NJ 07101-0406

Provider Portal

https://www.navinet.net

New Jersey Medicaid (NJ FamilyCare) managed-care plan from Horizon BCBS of NJ. Behavioral health and appeals may route differently.

National EDI Clearinghouse Capabilities

Direct ANSI X12 electronic transaction support verified for Horizon NJ Health (New Jersey Medicaid).

837P Professional Claims
837I Hospital Claims
837D Dental Claims
835 ERA Electronic Remittance
270/271 Real-Time Eligibility
276/277 Claim Status Inquiry
Secondary Claim Submission
Worker's Compensation EDI
Electronic Attachments (PWK)

Associated Clearinghouse Payer IDs

National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Horizon NJ Health (New Jersey Medicaid).

Clearinghouse NameElectronic Payer IDStatusEnrollmentSupported Services
Horizon New Jersey Health22326Non-ParRequired
837P837I835 ERA
Horizon Nj Health22326ParNone
837P837I835 ERA

Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.

Tired of Chasing Horizon NJ Health (New Jersey Medicaid) Denials & Delayed Payments?

Aethera's billing specialists work Horizon NJ Health (New Jersey Medicaid) every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.

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