We want to make it easier for you to understand our procedures and the resources available to you. The topics below give detailed information about how to get the most out of our products and services. These materials will benefit participating physicians, practice administrators, office managers, office personnel and other health care professionals.

Webinars

• Educational Webinars

Billing/Claims

• ClaimsXTen FAQs
• ClaimsXTen Edit Codes and Messages
• SimpleClaim Training Resources
• How to Submit Claims with J or Q Codes

Programs

• Behavioral Health Program
• Horizon NJ TotalCare (HMO D-SNP) Model of Care Training

Quality Improvement

• Indications for OB Ultrasound Overview Presentation
• Fact Sheet for Lead Screening in Children

Utilization Management

• UM Tool Denial Appeal Tutorial
• UM Tool Tutorial

HEDIS Guidelines

• HEDIS Guidelines
• Interactive HEDIS Guidelines

Substance Use Disorders

• American Society of Addiction Medicine Criteria

Federally Qualified Health Centers

• Federally Qualified Health Center (FQHC) Resource Guide
• Federally Qualified Health Center (FQHC) - Dental Billing Guide
• DAVIS VISION Federally Qualified Health Center (FQHC) – Vision Billing Guide

Medically Unlikely Edits

• FAQ for MUE