Filler
Horizon Blue Cross Blue Shield of New Jersey

Provider Directory News Room About Us Contact Us Site Map Careers Community Involvement
 

 
Entire SiteMembers Section
Filler
Members

Home :  Members :  Forms :  Student Verification
Student Verification

Making Student Verification Easier for Horizon BCBSNJ Members

During the Student Verification process, Horizon Blue Cross Blue Shield of New Jersey verifies the full-time student status of any dependent who falls between the maximum dependent and maximum student ages.  Verifying the full-time student status of dependents ensures that their coverage will continue.  Horizon BCBSNJ has recently made changes to our workflows to make this process easier for our members.

In the past, Horizon BCBSNJ required annual Student Verification from our members.  Members were asked to submit documentation to complete the verification process.

Beginning in the fall of 2009, the Student Verification process will become a semi-annual process where members can confirm student status for their dependents through a dial-in Interactive Voice Response (IVR) phone number, 1-888-345-5070. Subscribers will verify full-time student status for their dependents by identifying the impacted dependent and noting if they are currently attending an accredited school or institution of higher learning on a full-time basis. This “over-the-phone” verbal verification will act as the member’s attestation of their dependents’ full-time student status.

Dependents who are not verified by the deadline detailed below will have their coverage terminated.  Terminated dependents will receive a Certificate of Creditable Coverage (COCC) letter indicating that their coverage has been terminated.

The timeline for the semi-annual Student Verification process will be as follows:

Fall 2009 Student Verification Timeline 

Letters sent with IVR dial-in information

Late August

IVR opened for Student Verification

September 15, 2009 through October 15, 2009  

Terminations processed for nonresponsive dependents

Late October

Termination date used for nonresponsive Dependents

 

November 1, 2009

Winter 2009/Spring 2010 Student Verification Timeline  

Letters sent with IVR dial-in information

Late December

IVR opened for Student Verification

January 15, 2010 through       February 15, 2010  

Terminations processed for nonresponsive dependents

Late February

Termination date used for nonresponsive dependents

March 1, 2010

Hard copy documentation – Please note that hard copy documentation will be accepted through the standard process by fax or mail:

Fax:    1-973-274-2297

Mail:   Horizon BCBSNJ Enrollment Department
          RE: Student Verification
          PO Box 10168
          Newark, NJ 07101

As we move away from manual paper transactions, Horizon BCBSNJ hopes that our new, automated process will have a positive impact on Horizon BCBSNJ members.  Along with increased effectiveness and precision, automated solutions help decrease the time it takes to complete a procedure, such as Student Verification.

Please look for more information in the future as Horizon BCBSNJ moves its procedures and businesses to more automated solutions.


| More