Horizon Blue Cross Blue Shield of New Jersey
Horizon Blue Cross Blue Shield of New Jersey Timely Filing Limit
The professional provider manual says claims generally must be submitted within 180 days of service. This general professional rule does not establish every…
Short answer
The professional provider manual says claims generally must be submitted within 180 days of service. This general professional rule does not establish every product exception or a corrected-claim deadline.
Coverage: Horizon professional provider manual guidance. Do not automatically apply these rules to Horizon NJ Health Medicaid, Braven, FEP, or every self-funded arrangement.
Horizon Blue Cross Blue Shield of New Jersey filing guidance from the reviewed sources: Professional provider manual: generally 180 days from date of service, subject to product and agreement exceptions. Confirm the plan, provider agreement, and event that starts the filing period before submission.
At a glance
- The professional provider manual says claims generally must be submitted within 180 days of service. This general professional rule does not establish every product exception or a corrected-claim deadline.
Initial claim filing limits
- Professional provider manual: generally 180 days from date of service, subject to product and agreement exceptions.
Corrected claim filing limits
- Not clearly published in the researched sources.
Appeal and reconsideration deadlines
- Not clearly published in the researched sources.
Trigger basis and caveats
- Not clearly published in the researched sources.
Provider resources
- Authorization guidance (official)
- Filing guidance (official)
- Claims guidance (official)
Sources
| Fact | Value | Source | Confidence |
|---|---|---|---|
| Official provider guidance | The professional provider manual says claims generally must be submitted within 180 days of service. This general professional rule does not establish every product exception or a corrected-claim deadline. | Official | high |
Update notes
Last updated: 2026-10-30.
- Added the official Horizon professional manual and Availity authorization tools. Retained the verified 180-day general filing rule and electronic payer ID 22099.
- Prompt-payment processing periods are not filing deadlines. Corrected-claim and product-specific exceptions remain unverified.
Last reviewed: October 30, 2026
Sources used: 1 official
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