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Dates
Horizon NJ Health
Government Programs
Facets
Vendors
100
The date you started.
What is May 1, 2017
100
We will Continue to collaborate with Hospitals and Physicians, improve Quality and enhancing patient experience, and lowering the total cost of care.
What is Our Vision
100
Joint federal and state program that helps with medical costs for some people with limited income and resources.
What is Medicaid
100
This Application will be used payment details, and claim processing details
What is Claims Processing
100
I will provide services for me to go to the Dentist.
Who is Scion
200
The year Medicare started.
What is 1965
200
We will continue to serve with excellence and dedication, provide peace of mind for those who depend on us, and enrich the lives and health of our members and communities we serve.
What is Our Promise
200
Also known as DSNP, this refers to people who are entitled to both Medicare and Medicaid
What is Horizon NJ TotalCare (HMO SNP)
200
This section will allow you to document inquiries, view previously documented inquiries, and route inquiries to Trizetto.
What is Customer Service
200
I will provide services for me to have my blood drawn and/or analyzed.
Who is Lab Corp
300
What is the year Medicaid started?
What is 1965
300
Daily Double – Ensuring the delivery of and improving the quality care, assuring access to care, and the delivery of cost-efficient care.
What is the Triple Aim
300
Refers to the delivery of long term services and supports through Medicaid managed care program designed to expand home and community-based services.
What is MLTSS
300
This section allows you to search for my address, my npi history, my tax information.
What is Provider
300
I will provide services for me to have eyeglasses and corrective lenses
Who is Davis
400
Launched the Managed Long Term Services and Supports (MLTSS).
What is 2014
400
This Department ensures prior authorization for inpatient, home health services, and DME.
What is UM
400
Federal health insurance program who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease.
What is Medicare
400
This application will allow you to view PCP History, Eligibility inquiry, and COB/TPL info.
What is Subscriber/Family
400
I will provide a system for you to use that you can look up members, claims, and document in.
What is Trizetto
500
Horizon’s enrolled it’s first member.
What is 1994
500
Uses a team approach, which may include the Primary Care Provider (PCP), specialists, home health agency, discharge planners, therapists, social workers, nurses, behavioral health, pharmacy, medical directors to meet the health care and community service needs of the member on a short or long-term basis.
What is Care Management
500
The President of Horizon NJ Health & Senior VP of Government Programs
Who is Erhardt Preitauer
500
This application will allow you to view info regarding Authorizations and Referral.
What is Prospective UM
500
Daily Double – I will provide services that for a Provider to get authorizations for an outpatient MRI, Chest X ray.
What is National Imaging Associates, Inc. (NIA)