For Dentists

Join Horizon Dental

Join New Jersey’s fastest growing networks.
  • Click to view printer friendly page
  • Text

Horizon Dental’s networks serve more than 1 million members, and our members almost always choose Horizon BCBSNJ’s in-network dentists.

Access to our members, and our best-in-class service and efficient, easy administration, can help your practice grow. We offer:

  • More than 10,000 businesses, school boards, municipalities and other clients

  • Outstanding claims payment and phone service

  • Clear, regular communications to network offices

  • Dedicated staff of network managers

  • Electronic claims submission through Electronic Data Interchange (EDI) services

  • Direct deposit of claims payments through Electronic Funds Transfer (EFT)

How to join
We strongly encourage you to use CAQH’s easy and efficient online provider data-collection service, CAQH ProView™, to begin the credentialing process. If you don’t already have a CAQH ProView Profile, register to obtain your unique CAQH Provider ID number.

Be sure to give Horizon BCBSNJ and DeCare authorization to retrieve information from CAQH. If you have used CAQH ProView before, please access your profile and update any inaccurate or incomplete information.

You can also complete the credentialing application and mail it to:
                                         Horizon BCBSNJ Professional Services
                                                           Attn: Credentialing
                                                                PO Box 153
                                                  Minneapolis, MN 55440-9886

Contracting
Contact the dental representative for your area to begin the contracting process. A list of our dental networks and plans follow.

Dental Representatives

Bergen, Hudson, Hunterdon, Middlesex, Monmouth, Somerset, Sussex, Ocean, Union and Warren counties

Virginia Rego

1-973-941-2384

Virginia_M_Rego@HorizonBlue.com

Atlantic, Burlington, Camden, Cape May, Cumberland, Essex, Gloucester, Mercer, Morris,

Passaic and Salem counties

Bonita Haines

1-973-953-9047

Bonita_Haines@HorizonBlue.com

Delaware,
New York and Pennsylvania

Angel Flecha

1-973-466-6179

Angel_Flecha@HorizonBlue.com

Horizon Dental Networks and Plans

Horizon Traditional Network Plans
Services are reimbursed on a fee-for-service basis and, in most cases, will be subject to deductible and coinsurance. When you join this network, you will have access to more than 75 percent of our individual and group membership.

FEP Blue Dental®
Horizon Dental Option
Horizon Family Grins (age 19 and under)
Horizon Family Grins Plus (age 19 and under)
Horizon Healthy Smiles Plus
Horizon Traditional
Horizon Young Grins (age 19 and under)
National GRID Plus

Horizon PPO Dental Network Plans
Horizon Dental PPO Plans are our fastest-growing plans. Now more than ever, employers are choosing programs that include our Dental PPO network. Services are reimbursed on a fee-for-service basis and may be subject to deductible and copayments. Dentists must participate in the Horizon Traditional Network to participate in the Horizon PPO Network.

Federal Employee Program®
FEP Blue Dental®
Horizon Basic Dental Companion
Horizon Centurion
Horizon Dental Companion
Horizon Dental Option
Horizon Dental PPO
Horizon Dental PPO Access
Horizon Family Grins
Horizon Family Grins Plus
Horizon Healthy Smiles
Horizon Healthy Smiles Plus
Horizon Medicare Advantage Dental
Horizon Traditional
Horizon Young Grins
National GRID

Horizon Dental Choice (HDC) Network
Dentists in the HDC Network treat members in our dental managed care products. Services are reimbursed on a capitated basis. The products provide dentists with a consistent cash flow to better manage finances and the potential to capitalize on employers moving to prepaid dental care.

TotalCare Network
Similar to our Horizon Dental Choice plans, TotalCare is a capitated managed dental program. To join this network, dental practices must be able to provide all general and specialty services in one office setting.

CAQH ProView™ is a trademark of the Council for Affordable Quality Healthcare.

Federal Employee Program® and FEP® are registered marks of the Blue Cross and Blue Shield Association.