Horizon NJ Health Chooses HealthTrans To Provide Pharmacy Claims Processing And Adjudication Services
Posted on: Friday, 14 March 2008, 15:00 CDT
Horizon NJ Health has contracted with HealthTrans, a national pharmacy benefits administrator, to provide pharmacy claims management and reporting services for its more than 300,000 members, effective May 1. HealthTrans expects to process nearly three million claims annually.
Horizon NJ Health is New Jersey's largest health care management company serving publicly insured individuals in the Medicaid and NJ FamilyCare programs. Headquartered in West Trenton, Horizon NJ Health is wholly owned by Horizon Blue Cross Blue Shield of New Jersey.
HealthTrans' pharmacy claims processing and adjudication services allow clients the ability to take back control of their pharmacy claims processing, by utilizing HealthTrans existing tools, or to outsource the onerous day-to-day tasks of member enrollment, payment, patient care, and card services. HealthTrans' flexible claims management services ensure accurate, reliable, and real time processing and support is readily available to respond to needs.
About HealthTrans
HealthTrans, a pharmacy benefits administrator, provides employers, third party administrators, brokers, consultants, managed care organizations (MCOs), and other payers with the tools and clinical expertise to more efficiently manage pharmacy benefit programs. HealthTrans' solutions use Web-enabled applications that provide clients with the increased flexibility to manage pharmacy network administration, benefits administration, claims processing, financial reporting, mail order/90 day at retail programs, as well as manufacturers' rebate processing and reporting. HealthTrans has always offered a transparent business model that aligns our goals with those of our clients through full-disclosure and a value-based formulary model that focuses on the lowest overall net drug spend to help them lower pharmacy costs. For more information about HealthTrans, visit its Web site at http://www.healthtrans.com.
About Horizon NJ Health
Horizon NJ Health is New Jersey's largest managed healthcare organization serving the publicly insured, providing health services for more than 336, 000 people in all 21 New Jersey counties. Headquartered in West Trenton, NJ, Horizon NJ Health, a partnership, is a product of Horizon HMO. Horizon HMO is a wholly owned subsidiary of Horizon Blue Cross Blue Shield of New Jersey. The website for Horizon NJ Health is found at www.horizonNJhealth.com.
Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) with headquarters in Newark, NJ is New Jersey's largest health insurer, providing coverage to more than 3.5 million people. Horizon BCBSNJ's Web site is located at www.HorizonBlue.com Horizon HMO and Horizon Blue Cross Blue Shield of New Jersey are independent licensees of the Blue Cross and Blue Shield Association.
Source: Business Wire
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