1. Click Claims.
2. Then click Recent Claims, to view details.

If you see an in-network doctor for care, you may not get a medical bill. However, you should expect one if you owe a copayment or coinsurance, get services that aren’t covered under your plan, or if you use an out-of-network doctor.

If you get a bill for services that should be covered by your Horizon BCBSNJ plan, complete the appropriate claim form, include an itemized bill and mail it to the address printed on the form. An itemized bill includes the Provider Tax Identification Number (TIN), patient name, member’s ID number, date of service, diagnosis code(s), procedure code(s), place of service and total charge.

If you have pharmacy benefits from Horizon BCBSNJ, submit a prescription claim form, along with the actual prescription receipt (not the cash register receipt). Please be sure that the following information is legible on the prescription claim form:

• Patient’s name
• Rx number
• Date filled
• Amount paid

It may take up to 30 days for Horizon BCBSNJ to process your claim. To check the status of your claim, sign in and:

• Click Claims.
• Then click Recent Claims, to view details.

For claims that are sent by mail to Horizon BCBSNJ, there is a 30-day processing period. If the claim you are looking for was mailed within the last 30 days, please allow Horizon BCBSNJ the full time frame for processing.

If it has been over 30 days since you mailed your claim, please call Member Services at the phone number on the back of your member ID card. Depending on your plan, you may also be able to sign in and email or chat with a Member Services Representative.