Information for
ProvidersHorizon BCBSNJ
Provider Services: 888-456-7910
Providers may also direct themselves to the Horizon BCBSNJ website for additional resources:
https://www.horizonblue.com/providers
HealthSmart Accel/Preferred
Provider Services: 800-687-0500
(California Only)
HealthSmart Accel/Preferred
For West Coast providers with HealthSmart Network:
https://providerlookup.healthsmart.com/ufcw
Important, Please note: Sutter Health/Gould providers are Out-of-network (OON) for HealthSmart and the UFCW National Plan
To nominate a physician to participate in the HealthSmart provider network, please complete this form:
The following medical services require prior authorization by the Fund:
- Outpatient Magnetic Resonance Imaging (MRIs)
- Computed Axial Tomography (CT or CAT scans)
- Electromyograms (EMGs, nerve tests and studies)
- Sleep Apnea (studies, treatment, devices, test, surgery, or any services related to sleep disorders)
- Vein surgery
- Nasal surgery/Rhinoplasty
- Gastric Bypass surgery
- Genetic testing
- Breast Reduction
- Blepharoplasty (eyelid surgery)
If the particular course of treatment or medical service is not certified/authorized, it means that the Plan will not consider that course of treatment as appropriate for reimbursement under the Plan. Failure to obtain prior authorization for the required medical services and procedures listed will result in a denial of benefits when your claim is received for processing.