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Returning Outstanding Credit Balances
Effective date
Not stated in the notice
Identified
Oct 3, 2026
Summary
Horizon BCBS NJ has established a formal process for returning improper or excess claim reimbursements. Billing teams must use the Credit Balance Adjustment Request Form to report all outstanding credit balances of 30+ days and submit documentation to the specified contact. This formalizes the procedure for identifying and returning overpayments to maintain compliance.
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What to do
Action · 6 steps
01Billing team must implement a systematic process to.
02Identify all credit balances outstanding for 30 days or more in the billing system.
03Obtain and complete the Credit Balance Adjustment Request Form for each overpayment.
04Gather supporting documentation (previous adjustment requests, payment vouchers, correspondence).
05Submit completed forms and documentation to Schaheda Fisher via fax at 1-973-274-2336 or mail to Schaheda Fischer, PP-12P, Horizon BCBSNJ, 3 Penn Plaza East, Newark, NJ 07105-0420.
06Establish a monthly review cycle to identify newly-aged credit balances.
If missed: Failure to return improper reimbursements may result in audit findings or contract compliance issues.
Original notice
Returning Outstanding Credit Balances
horizonblue.com · Always check the source before changing claims.
Related changes
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