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Horizon BCBS NJAll Plans · Administrative · Provider NewsMedium impact

Tips for Using Our Horizon Data Submission Template

Effective date
Not stated in the notice
Identified
Oct 3, 2026

Summary

Horizon Blue has launched a new Horizon Data Submission Template for providers to update demographic information and meet quarterly data validation requirements. Providers must request the template via email, complete it according to specific formatting rules, and return it within 10 business days using a secure reply link. The old Enterprise PDM mailbox is no longer accepted for updates except through the Provider Data Maintenance Tool on NaviNet for most changes.

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What to do

Action · 7 steps
01Administrative staff and practice managers must implement the new demographic update process immediately.
02Designate a staff member to request the Horizon Data Submission Template by emailing autosubmission_@HorizonBlue.com with subject line 'Requesting Practitioner Template' or 'Requesting Ancillary Template'.
03When template is received, complete updates starting on Line 3 only—do NOT delete any rows, columns, or modify Lines 1-2.
04Save the completed file with exact naming format: Provider_PRAC_CHANGE_HORIZON_MM_DD_YYYY (replace PROVIDER with practice name up to 20 characters, replace MM_DD_YYYY with submission date).
05Reply to Horizon's original secure email with completed template within 10 business days of receipt—the secure connection expires after 10 business days.
06If additional time is needed, email autosubmission_@HorizonBlue.com to request a new template with an extended 10-business-day deadline.
07Stop submitting demographic updates to the Enterprise PDM mailbox (EnterprisePDM@HorizonBlue.com)—use NaviNet Provider Data Maintenance Tool instead for all changes except network terminations, TIN changes, and practice name changes.
If missed: Failure to comply with the 10-business-day deadline will result in loss of secure connection and require requesting a new template.

Original notice

Tips for Using Our Horizon Data Submission Template
horizonblue.com · Always check the source before changing claims.
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