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					Online Informational Sources:
You can get answers to many frequently asked questions
online at www.MagellanHealth.com/provider


You have access to many resources including:
         Magellan Provider Handbook
         Medical Necessity Criteria
         Clinical Guidelines                                  Quick Reference Guide for
         Credentialing Criteria                                Horizon Blue Cross Blue
         Claims Tools
         Treatment Request Forms
                                                                 Shield of New Jersey
         PCP Communication Forms
         Practice Information Update Tool
         Magellan Provider Newsletter, Provider Focus.

Provider Inquiry Resources:
You can call the general 800 numbers listed in this Quick
Reference Guide for claims and authorization questions.

You can call the National Provider Services Line at 1-
800-788-4005 for general inquiries including credentialing
and network status.

You can reach your local network representative at:

New Jersey                    1-800-435-7670 ext. 53869

New York                      1-800-231-7158

Pennsylvania/Delaware         1-800-866-4108

If you feel your inquiry needs further review after pursuing
the aforementioned standard methods you may contact the
following resources for escalation:

Horizon:
Office of the General Manager 1-800-435-7670




                                                               Northeast Care Management Center

                                                                        199 Pomeroy Road
                                                                       Parsippany, NJ 07054

                                                                         1-800-435-7670


Revised 10/05/10
Magellan Quick Reference Guide for Horizon Blue Cross Blue Shield of New Jersey

    For the following Horizon plans:                              For the following Horizon plan:                              For the following Horizon plan:
     NJ Direct                                                      Horizon BCBS of NJ POS/ Direct Access                         Horizon BCBS of NJ Plus (SHBP)

          Authorization, Eligibility and Claims:                   You can obtain initial authorizations (IOA) and request            Authorization, Eligibility and Claims:
          1-800-991-5579                                           additional sessions online for all accounts listed above           1-800-991-5579
          Fax Number for TRF Submission:                           through your secure provider log-on at:                            Fax Number for TRF Submission:
          1-877-551-8302                                           www.MagellanHealth.com/provider                                    1-877-551-8302
          Claims Addresses:                                                                                                           Claims Addresses:
                                                                         Authorization, Eligibility and Claims:                       New Jersey Plus
          Magellan Health Services
                                                                         1-800-626-2212
          P.O. Box 5172                                                                                                               199 Pomeroy Road
                                                                         Fax Number for TRF Submission:
          Columbia, MD 21045-5172                                        1-877-551-8302                                               Parsippany, NJ 07054
                                                                         Claims Addresses:
          Or, submit electronically at:                                  Magellan Behavioral Health                                   Or, submit electronically at:
                                                                                                                                      www.Horizon-bcbsnj.com
          www.Horizon-bcbsnj.com                                         P.O. Box 5172
                                                                         Columbia, MD 21045-5172

                                                                                                                                 For the following Horizon plan:
                                                                         Or, submit electronically at:                            Horizon BCBS of NJ FEP
                                                                         www.Horizon-bcbsnj.com
    For the following Horizon plans:                                                                                                 Authorization, Eligibility:
                                                                                                                                      1-800-626-2212
     Horizon BCBS of NJ HMO
     Horizon Medicare Blue
                                                                   For the following Horizon plan:                                   Claims:
                                                                    Horizon NJ Health (Medicaid)                                      1-800-624-5078
    You can obtain initial authorizations (IOA) and request                                                                           Fax Number for TRF Submission:
                                                                         Eligibility:                                                 1-877-551-8302
    additional sessions online for all accounts listed above             1-877-695-5612
    through your secure provider log-on at:                              Authorizations:                                              Claims Addresses:
    www.MagellanHealth.com/provider                                      973-515-2350                                                 Horizon BCBS of NJ FEP
                                                                         Claims:                                                      P.O. Box 656
          Authorization, Eligibility and Claims:                         1-800-682-9091
          1-800-626-2212                                                                                                              Newark, NJ 07102
                                                                         Fax Number for TRF Submission:
          Fax Number for TRF Submission:                                 1-877-551-8302
          1-877-551-8302                                                                                                              Or, submit electronically at:
                                                                         Claims Address:
          Claims Addresses:                                                                                                           www.Horizon-bcbsnj.com
                                                                         Horizon NJ Health
          Outpatient
                                                                         P.O. Box 7117
          Magellan Health Services
                                                                         London, KY 40742                                        For the following Horizon plan:
          P.O. Box 5171                                                                                                           Horizon BCBS of NJ Integrated EAP
          Columbia, MD 21045-5171
                                                                   For the following Horizon plan:
                                                                    Horizon PPO Plans *ABA Services Only*                             Authorization, Eligibility and Claims:
          Or, submit electronically at:
                                                                                                                                      1-800-346-5486
          www.Horizon-bcbsnj.com                                         Eligibility, Authorizations and Claims:                      Fax Number for TRF Submission:
                                                                         1-800-626-2212                                               1-877-551-8302
                                                                         Claims Address:                                              Claims Address:
                                                                         Magellan Health Services                                     Horizon of NJ Integrated EAP
                                                                         P.O. Box 5172                                                199 Pomeroy Road
                                                                         Columbia, MD 21045                                           Parsippany, NJ 07054
                                                                         Or, submit electronically at www.Horizon-
                                                                         bcbsnj.com

                                                               You can request additional sessions online for ABA services
                                                               through your secure provider log-on at:
                                                               www.MagellanHealth.com/provider

				
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