Credentialing by payer
Join the Horizon Blue Cross Blue Shield of New Jersey Network
- Flat PricesNo percentage of collections
- Half Now, Half at SubmissionFor every enrollment application
- Closed Network?Your choice of a refund or a credit
- Live Status TrackingCheck any application by reference number
Horizon Blue Cross Blue Shield of New Jersey at a Glance
| Parent company | Horizon Mutual Holdings, Inc., a New Jersey nonprofit mutual holding company |
|---|---|
| Service area | New Jersey. |
| Published turnaround | New Jersey rule N.J.A.C. 11:24C-1.3: for CAQH applicants, carriers must complete credentialing within 90 days of a complete application, say within 45 days whether it is complete, and answer credentialing inquiries within five business days. |
How Horizon Blue Cross Blue Shield of New Jersey Takes Applications
Horizon's provider pages block automated readers, so we could not re-verify its application steps for this page; our step-by-step Horizon guide covers the enrollment tool, CAQH (DataSpring) authorization, Horizon NJ Health and Braven Health. What is fixed by New Jersey law is the clock: a carrier must flag an incomplete CAQH application within 45 days, listing every deficiency, and finish credentialing within 90 days of a complete one. See our full Horizon Blue Cross Blue Shield of New Jersey guide.
What to Watch With Horizon Blue Cross Blue Shield of New Jersey
New Jersey carriers that offer managed care plans must also accept the New Jersey Universal Physician Application and cannot insist on their own form in its place. Horizon reorganized under the nonprofit mutual holding company Horizon Mutual Holdings, approved effective November 1, 2022.
Whatever the plan, the file moves only when your CAQH (DataSpring) profile, license record and application agree. See how long credentialing takes and our CAQH profile setup service.
Questions About Horizon Blue Cross Blue Shield of New Jersey
How long does Horizon Blue Cross Blue Shield of New Jersey credentialing take?
New Jersey rule N.J.A.C. 11:24C-1.3: for CAQH applicants, carriers must complete credentialing within 90 days of a complete application, say within 45 days whether it is complete, and answer credentialing inquiries within five business days.
What does PECS charge for a Horizon Blue Cross Blue Shield of New Jersey application?
$200 per application per provider, half at engagement and half at submission, including follow-up with Horizon Blue Cross Blue Shield of New Jersey until the effective date is set.
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Answers cover PECS services, prices and process. For legal, tax or clinical questions please consult a professional.
Sources
- N.J.A.C. 11:24C-1.3 credentialing standards
- NJ DOBI: Horizon Mutual Holdings application
- NJBIA: Horizon reorganization wins state approval
Facts checked against the sources above in October 2026; plan procedures change.