Provider Self-Service Tools

Drug Authorizations Tool

Eligibility and Benefits Cost Share Estimator

Our Eligibility and Benefits Cost Share Estimator gives you access to medical and behavioral health claim-level member eligibility, benefits and out-of-pocket costs.

NaviNet

Visit NaviNet – your online go-to resource. Learn more about what you will find on the Horizon BCBSNJ plan page.

Prior Authorization Procedure Search Tool

Find out if services require prior authorization for your Horizon patients.

Provider Data Maintenance Tool

Utilization Management Request Tool

Submit authorization and referral (pre-determination) requests and verify the status of previously submitted authorization or referral (pre-determination) requests easily and securely through our Utilization Management Request Tool.