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New Jersey News


2/16/11 - Horizon Blue Cross Blue Shield of New Jersey is committed to making it easier for customers to do business with them. One important way they are doing this is by steadily moving toward a single claims processing system . Horizon BCBSNJ is migrating business currently processed on the QBlue system to the  NASCO®˝ Processing System (NPS). The migration began on January 1, 2011, and will continue until January 2013.


2/11/11 Effective January 16, 2011, a New Jersey state law requires health insurers offering fully insured managed care health plans, that include out-of-network benefits, to reimburse claims submitted by out-of-network providers based on a valid assignment of benefits. According to this law, the state of New Jersey considers these plans as managed care health plans that include out-of-network benefits.


1/24/11 - Horizon Blue Cross Blue Shield of NJ has released a Guide for Members for Preventive Care. It will show members how to make the best of their benefits.


2/3/11 - Legislative and court challenges to the PPACA are addressed in the Horizon Blue Cross Blue Shield of New Jersey Broker Brief Notes. In recent weeks, there have been a number of legislative and court challenges to the new law. In January, the U.S. House of Representatives voted to repeal the legislation. For this repeal to take place, the House bill would have to be passed by the U.S. Senate and signed by President Barack Obama. However, the bill did not pass the Senate and even if it had, it is virtually certain that President Obama would have vetoed the bill. Horizon BCBS does not see repeal as a threat to health care reform legislation.


1/24/11 - Special AmeriHealth Broker Seminar. AmeriHealth will be announcing new plans to their portfolio on Friday, February 25, 2011.This is a MUST ATTEND Seminar. Please join them at this upcoming broker seminar. Topics include new product developments, FutureScripts® transition, year-to-date statistics, network status, 2011 forecast and health care reform and much more.