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We found (16) results for “Submitting Claims”.
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Yes. The Horizon Blue app provides you with 24/7 access to care, support and plan information from your smartphone or other mobile device.
To get the app, text GetApp to 422-272 or visit the App Store® or Google Play™. There is no cost to download the Horizon Blue app, but rates from your wireless carrier may apply.
To sign in to the app, enter the username and password that you used to register for HorizonBlue.com and click Sign In. Biometric sign in (fingerprint or facial recognition) is also an option.
With the Horizon Blue app, you can:
- Submit out-of-network medical and behavioral health claims.
- Display, download, print and share your member ID card.
- Quickly connect with health care professionals.
- View your claims, see how much your health plan paid, and any amount you may owe.
- Find doctors and hospitals.
- Check if a specific treatment or service is covered.
- Track your deductible, if applicable, and maximum out-of-pocket costs.
- Email or chat with a Member Services Representative to get answers to your questions.
- If you purchased insurance for yourself or your family directly through Horizon or through the NJ state-based exchange (SBE), you can pay your premium bill online and set up Auto Pay.
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Last updated:
Jan 19,2024
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Choose the type of claim you'd like to submit.
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You can submit out-of-network medical and behavioral claims using the Horizon Blue App or by mail.
Horizon Blue App:
To submit these claims using the Horizon Blue App, sign in to the Horizon Blue App and tap Claims, then Submit a Claim. Please note that this option is available on the Horizon Blue App only, not our website.
By Mail:
To submit these claims by mail, please include the appropriate claim form below and mail it, and the required information listed on the form, to the address on the form:
- Merck members: Merck Health Insurance Claim Form
- Organon members: Organon Health Insurance Claim Form
- State Health Benefit Program (SHBP) and School Employees’ Health Benefits Program (SEHBP) members: SHBP/SEHBP Medical Plan Claim Form
- All other members: Horizon Health Insurance Claim Form
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- Under Doctors & Care, click Prescriptions.
- If you see Go to Prime Therapeutics: Mail the Prescription Drug Claim Form, and the required information listed on the form, to the address on the form. If you do NOT see Go to Prime Therapeutics: Follow the instructions on screen to be redirected to the appropriate vendor’s website, where you can find information about submitting prescription claims.
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Complete the Claim Form - Dental and mail it, and the required information listed on the form, to the address on the form. You can submit out-of-network dental claims by mail only.
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- Click Vision under Doctors & Care.
- Follow the instructions on screen to be redirected to the appropriate vendor’s website, where you can locate information about submitting vision claims.
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Last updated:
Sep 29,2023
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Submit your claim with the Horizon Blue App in a few easy steps:
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When using the Horizon Blue App to submit a claim, you do not need to submit a claim form. However, you will need to photograph and submit an itemized bill or receipt.
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When you open the Horizon Blue App, tap Claims, then Submit a Claim.
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Upload photos of your itemized bill or receipts.
You can also upload any other supporting documents. You can submit multiple images per claim.
Please note: You cannot use the Horizon Blue App to take pictures. You’ll need to import them from another source, such as your phone’s photo library.
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Before you submit your claim, you'll be asked to confirm the photos you selected. See the example below:
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Last updated:
Nov 03,2022
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The easiest way to submit out-of-network medical claims is through the Horizon Blue app. When you use the Horizon Blue app, you don’t need to submit a claim form by mail.
If you prefer to submit out-of-network medical claims by mail, you will need to include the appropriate claim form listed below and mail it, and the required information listed on the form, to the address on the form:
- Merck members: Merck Health Insurance Claim Form
- Organon members: Organon Health Insurance Claim Form
- State Health Benefit Program (SHBP) and School Employees’ Health Benefits Program (SEHBP) members: SHBP/SEHBP Medical Plan Claim Form
- All other members: Horizon Health Insurance Claim Form
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Last updated:
Dec 20,2022
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- Sign in to your account.
- Click Horizon MyWay under My Accounts.
- Scroll down and click View More Activity.
- Scroll down. Under "I Want To" (the blue menu on the left-hand side), click Get Reimbursed.
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Last updated:
Nov 10,2022
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- Click Vision under Doctors & Care.
- Follow the instructions on screen to be redirected to the appropriate vendor’s website, where you can locate information about submitting vision claims.
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Last updated:
Dec 16,2022
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Complete the Dental Claim Form and mail it, and the required information listed on it, to the address on the form. You can submit out-of-network dental claims by mail only.
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Last updated:
Feb 07,2024
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Related FAQs
- Where can I find vision claim forms?
- Where can I find prescription/pharmacy claim forms?
- Where can I find mental health and Substance Use Disorder (SUD) claim forms?
- How do I submit a claim?
- Where can I find medical claim forms?
- What are my benefits to see a dentist or orthodontist, or receive other dental services?
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The easiest way to submit out-of-network mental health and SUD claims is through the Horizon Blue app. When you use the Horizon Blue app, you don’t need to submit a claim form by mail.
When you submit out-of-network mental health and SUD claims by mail, you will need to include the appropriate claim form listed below and mail it, and the required information listed on the form, to the address on the form:
- Merck members: Merck Health Insurance Claim Form
- Organon members: Organon Health Insurance Claim Form
- State Health Benefit Program (SHBP) and School Employees’ Health Benefits Program (SEHBP) members: SHBP/SEHBP Medical Plan Claim Form
- All other members: Horizon Health Insurance Claim Form
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Last updated:
Dec 20,2022
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- Under Doctors & Care, click Prescriptions.
- If you see Go to Prime Therapeutics: Mail the Prescription Drug/COVID-19 At Home Test Kit Claim Form to the address on the form. If you do NOT see Go to Prime Therapeutics: Follow the instructions on screen to be redirected to the appropriate vendor’s website, where you can find information about submitting prescription claims.
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Last updated:
Dec 16,2022
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Due to the end of the federal COVID-19 public health emergency, over-the-counter (OTC) tests for COVID-19 stopped being covered effective May 12, 2023. Please do not submit claims for OTC COVID-19 tests that were purchased on or after May 12, 2023 as we will not reimburse you for them.
However, if you purchased OTC COVID-19 tests out-of-pocket before May 12, 2023, you can still submit a pharmacy claim form for reimbursement for up to 12 months after the date of purchase. To access pharmacy claim forms, select Prescriptions, then Pharmacy Benefits1 to go to your pharmacy’s website and access claim forms. Members with Prime Therapeutics as their pharmacy manager can also access the Prescription Drug Claim Form on Horizon’s website.
1Don’t see the link? Contact your employer directly for information about your pharmacy benefits.
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Last updated:
Mar 06,2024
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Can't Find an Answer to Your Question?
Browse our Help Center categories and topics. For questions about your medical plan or technical support, sign in to send us an email or start a live chat. For other questions, visit the Contact Us information page on HorizonBlue.com.