Horizon Blue Cross Blue Shield NJ
Credentialing and enrollment guides for Horizon Blue Cross Blue Shield NJ across 1 states.
Quick Overview
Timeline
60 - 90 days
CAQH
Required
Re-credentialing
Every 3 year(s)
States Available
1
How Horizon Blue Cross Blue Shield NJ Credentialing Actually Works
Verified July 2026Apply Through
Timeline
Up to 90 days from the date Horizon has all required information
Recredentialing
Every three years
Horizon breaks the usual Blues pattern: provider survey, document prep (CV, license, DEA certificate, Horizon forms), upload, and submit through Horizon's own tool. CAQH is not the application vehicle here, and Availity handles transactions only. Track progress with your NPI and Submission ID.
Behavioral health routing: Behavioral health is in house through Horizon Behavioral Health, with its own provider services line, (800) 682-9091.
The stall to avoid: The tool times out after 60 minutes of inactivity and makes you start the survey over. Some specialties, including licensed mental health counselors and neuropsychologists, cannot use the tool at all and must mail a paper application. Discrepancy notices require corrections within 14 calendar days.
From PayerReady's payer enrollment research, built from the payer's own provider manuals and enrollment pages. Payer processes change; when a fact is not published by the payer, we say so rather than guess.
About Horizon Blue Cross Blue Shield NJ
Horizon Blue Cross Blue Shield of New Jersey is the largest and oldest health insurer in New Jersey, serving over 3.5 million members. Horizon offers commercial, Medicare, Medicaid, and individual marketplace plans.
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Complete Your CAQH ProView Profile
Horizon Blue Cross Blue Shield NJ requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.
Submit Your Application
Submit your completed enrollment package to Horizon Blue Cross Blue Shield NJ. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 60-90 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Horizon Blue Cross Blue Shield NJ?
Our specialists handle the entire Horizon Blue Cross Blue Shield NJ enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
Board Certification
Required if board certified; highly recommended
CV/Resume
DEA License
Required if prescribing controlled substances
Malpractice Insurance
Medical Degree
Medical License
NPI Certificate
Professional Reference
Enrollment Forms
CAQH ProView
Universal credentialing application used by most commercial and BCBS payers.
Contact Information
Provider Credentialing
1-800-414-7427
Mon-Fri 8am-5pm ET
Provider Relations
1-800-414-7427
NaviNet Portal Support
1-888-482-8057
Mon-Fri 8am-8pm ET
Need Help?
Let PayerReady handle your Horizon Blue Cross Blue Shield NJ credentialing and enrollment.
Get Started NowAvailable States
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for Horizon Blue Cross Blue Shield NJ-specific credentialing details including timelines, contacts, and local requirements.
Horizon Blue Cross Blue Shield NJ credentialing requirements by state
Horizon Blue Cross Blue Shield NJ enrollment is not identical everywhere. The table below lists what actually differs across the 1 state Horizon Blue Cross Blue Shield NJ operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | State-specific notes |
|---|---|---|
| New Jersey | Open | — |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified April 2, 2026. Network status changes without notice — confirm before you file.
Common questions about Horizon Blue Cross Blue Shield NJ credentialing
How long does Horizon Blue Cross Blue Shield NJ credentialing take?
Horizon Blue Cross Blue Shield NJ credentialing typically takes 60–90 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does Horizon Blue Cross Blue Shield NJ require CAQH?
Yes. Horizon Blue Cross Blue Shield NJ pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with Horizon Blue Cross Blue Shield NJ before the application can move. CAQH re-attestation runs on a 120-day cycle, and a lapsed attestation stalls both new enrollments and recredentialing.
Which states does Horizon Blue Cross Blue Shield NJ operate in?
Horizon Blue Cross Blue Shield NJ has credentialing operations in 1 state. 1 of those 1 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.