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HorizonBlue-Logo-Updated-Jan15 2013

 

 

 

PLEASE NOTE – THIS IS FOR MID-SIZE BUSINESS (NOT SMALL GROUP 2-50)

Horizon BCBSNJ has released their Brief Notes Updates V. 23, Nos. 968 & 969: OON Reimbursement Fee Schedules

Brief Notes, No. 968, provides a clarification of the out-of-network reimbursement options are available to groups with 51 or more employees upon renewal effective on or after January 1, 2014.

Brief Notes, No. 969, advises that groups that selected a Centers for Medicaid & Medicare Services (CMS) fee schedule for out-of-network reimbursement at renewal on or after January 1, 2014, may reconsider their selection and request a change to the FAIR Health fee schedule within 60 days.  Horizon BCBSNJ has provided a template letter you can use to notify your affected group clients of their option to change to the FAIR Health fee schedule.