For Providers

Braven Health follows Horizon BCBSNJ's policies and procedures, including, but not limited to, the content within Horizon's provider manuals, cultural competency standards, clinical practice guidelines and the guidelines within Horizon's medical policy manual.

  • Braven Health dedicated provider phone numbers

    • Provider Services: 1-888-444-0501
    • Behavioral Health program: 1-888-444-0422

    Braven Health has a separate Payer ID (84367)

    Providers must use this separate Payer ID for Braven Health for claims and other electronic transactions with Braven Health. If you haven’t already registered for Braven Health Electronic Data Interchange (EDI), please do so immediately. If you work with a vendor or clearinghouse, please ask if they are registered with Braven Health for EDI services. For more information visit the Braven Health EDI page.

You can also visit HorizonBlue.com/BravenHealth for information.

Participation Information

We are committed to providing participating physicians and other health care professionals with the information and tools they need to help care for Braven Health members. If you currently participate in the Horizon Managed Care Network or the Horizon Hospital Network, we are pleased to advise you that you are also already participating for Braven Health members.

Your network participation status with Braven Health plans will be the same as your participation status in the Horizon Managed Care Network or the Horizon Hospital Network.

If you participate in the Horizon Managed Care Network or the Horizon Hospital Network, you are participating with:

  • Braven Medicare Choice (PPO)
  • Braven Medicare Freedom (PPO)
  • Braven Medicare Group (PPO)
  • Braven Medicare Group w/Rx (PPO)

Join the network

If you are not currently participating, but wish to be considered in-network for Braven Health members, you must join the Horizon Managed Care Network.
Visit HorizonBlue.com/WhyJoin.

After joining the Horizon Managed Care Network, you will be evaluated for inclusion in the subset of this network, based on established criteria.

Changes for 2024

Review details about 2024 changes to Braven Health plans.

Provider News and Provider Newsletters

News & Legal Notices

Horizon regularly posts online news items that may impact Braven Health plans and processes within the News & Legal Notices section of our website. We encourage you to check this location at least weekly.

Blue Review

Blue Review, our provider newsletter written specifically for participating providers and other health care professionals, acute care facilities and ancillary facilities is published on a quarterly basis.

Prior Authorization Procedure Search Tool

Prior Authorization

You can look up CPT or HCPCS codes to determine if a medical, surgical or diagnostic service requires prior authorization for a Braven Health member.