What is the process for appealing a denied claim?

If your claim is denied by Horizon BC/BS of New Jersey, you have the right to appeal the decision. The first step is to review the denial letter to understand the reason for the denial. Next, gather any supporting documentation or information that may help to support your case. Submit a written appeal within the specified timeframe, including any relevant materials. Your appeal will be reviewed by a different team than the one that initially processed the claim. If the appeal is denied, you may have the option to request an external review from an independent organization. Make sure to follow the appeals process outlined by Horizon BC/BS of New Jersey to ensure a timely and thorough review of your claim.