Lab Information - CareCentrix



Horizon Authorization Quick Reference GuideOverviewThe purpose of this quick reference guide is to review the authorization recommendations for CareCentrix as it pertains to Horizon Blue Cross Blue Shield of New Jersey. As a reminder, most services rendered for a Horizon Blue Cross Blue Shield of New Jersey member require an authorization/precertification from CareCentrix.Medical PoliciesCertain codes are non-covered items/services under Horizon benefit plans. Refer to the attached listing of exclusions under Horizon in below link: following links can be helpful to obtain current information on non-covered codes along with other pertinent information pertaining to authorizations. to use your current Navinet login to check eligibility & benefits. If you don’t not have access to Navinet please follow the steps outlined below:Please go to and submit a registration form to request access.Navinet customer service will provide login credentials to you.Horizon does not allow for substitution of services of a PTA or OTA/COTA.Please note that you will no longer request authorization from Magellan – ICORE if the medications on the Medical Injectables Program (MIP) listing are rendered in the home setting. Please follow the link below to the CareCentrix portal under the Horizon tab to find the ICORE drug list. recommends that documentation be submitted for all initial / reauthorization requests. Please follow the link below to the CareCentrix portal under the Horizon tab to find documentation recommendations by HCPCS code. Information Laboratory Corporation of America (Lab Corp) is the exclusive laboratory services provider for Horizon Blue Cross Blue Shield of New Jersey’s (Horizon BCBSNJ) managed care plans. Please see the following link for locations. ................
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