Horizon Provider Resources

Effective June 1, 2026, EviCore by Evernorth will expand its administration of utilization management programs with Horizon Blue Cross Blue Shield of New Jersey and Braven Health℠ to include certain gastroenterology (GI) services. Learn more.
Effective June 1, 2026, EviCore by Evernorth will administer an expanded scope of Horizon Blue Cross Blue Shield of New Jersey’s existing radiology/imaging program to include certain high-tech radiology services. Learn more.
EviCore by Evernorth currently provides authorization services for Radiology, Cardiology, Radiation Therapy, and Laboratory Management for Horizon Blue Cross Blue Shield of New Jersey, members enrolled in NJ FamilyCare, Horizon NJ TotalCare (HMO SNP), & Managed Long Term Services and Supports (MLTSS) for Radiology, Cardiology, and Radiation Therapy services.
Horizon Blue Cross Blue Shield of New Jersey is an independent licensee of the Blue Cross Blue Shield Association.
There are currently no General Resources.
Laboratory Management
Radiation Oncology
Radiology
Cardiovascular
Gastroenterology
Musculoskeletal
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Registration Instructions
EviCore highly recommends providers take full advantage of the online capabilities at https://www.evicore.com/provider
Here you can request prior authorization, review our nationally accepted evidence-based guidelines, and receive announcements about program updates. Access requires only your email address and a brief registration.