Updated September 1, 2026
Verify Horizon New Jersey Health eligibility in real time.
Horizon New Jersey Health supports electronic real-time eligibility. Send the check to payer ID 22326 and the full benefits picture comes back in seconds, before the patient sits down.
Also billed as: Horizon NJ Health · Mercy Health Plan of New Jersey
Seconds
The same Horizon New Jersey Health check that takes 15 to 25 minutes on the phone. Ten patients tomorrow: ten checks, or three hours on hold.
3 billing names
Horizon New Jersey Health shows up on cards under 3 names. Every one routes to payer ID 22326, and so do 4 older payer IDs still printed on cards. No guessing which card this is.
NJ
Horizon New Jersey Health covers dental, medical. Sign in and check any patient in one click before they arrive.
From $39/mo
Per location, billed yearly. Found checks are billed once a month, $2.50 each and less as you run more. No seat fees, no processing fees.
The phone way
Call, hold, transcribe, repeat.
Verifying Horizon New Jersey Health by phone means a menu, a hold queue, and 15 to 25 minutes per patient while someone at the desk reads benefits back by hand. Ten patients on tomorrow's schedule is half a workday on hold.
The real-time way
Payer ID 22326, in seconds.
The same check, sent electronically. Sign in and run it for any patient in one click, and Valian flags the ones that need a human look.
| By phone | In Valian | |
|---|---|---|
| Time per patient | 15 to 25 minutes on hold | Seconds |
| When it happens | Day of, squeezed between patients | Any time before the visit, in one click |
| What you get | Notes scribbled while someone reads benefits aloud | The full breakdown, saved to the patient |
What a Horizon New Jersey Health eligibility check returns
- Whether coverage is active, with plan and group details
- Deductible, and how much of it is already met this year
- Annual maximum, and how much of it is left to work with
- Coverage percentages by category: preventive, basic, major
- Frequency limits on cleanings, exams, and X-rays
- Waiting periods, where Horizon New Jersey Health reports them electronically
Eligibility result
Sample data- Status
- Active
- Plan
- PPO · Group 8823
- Deductible
- $50 · $0 met
- Annual max
- $1,500 remaining
- Preventive
- 100%
- Basic
- 80%
- Major
- 50%
- Cleanings
- 2 / year
Returned in seconds · payer ID 22326
How practices handle this today, in their own words
Verbatim from recorded calls to dental offices. Names withheld.
We call the insurance, or I go on their website and do it. Yeah, we manually do it.
We have a third party insurance verification team that does it for us. I’m not too sure, maybe like seven, ten minutes.
Our system does it, and the ones that are not set up for electronic, we do ourselves.
How getting set up works
Book a discovery call
A 15-minute call with our team: we show you a check and size your plan. Then you sign up from the link we send you: create the account, sign the agreement, and put a card on file.
Save your carriers and codes
Pick the insurance carriers you take and the codes you check.
Run a check in one click
Sign in, pick a patient and see their coverage in seconds before the visit, Horizon New Jersey Health included. No hold music, no portal logins.
Under half an hour of your time all in. See how the software compares, how a real-time check works, or what outsourcing costs.
What Horizon NJ Health supports through our network
- Real-time eligibility (270/271)
- Yes, in seconds
- Enrollment for eligibility
- None, checks work day one
- Dental claims (837D)
- Not through our network
- Claim status (276/277)
- Yes
- Electronic remittance (835)
- Yes, after a one-click enrollment, typically a few weeks
- Electronic funds transfer
- Not through our network
- Claim attachments
- Not through our network
Names and IDs this payer goes by
Horizon New Jersey Health · Horizon NJ Health · Mercy Health Plan of New Jersey. Older cards may show payer ID 10337, 1709, 6534 and HZMRCY. All of them route to payer ID 22326.
Payer site: www.horizonnjhealth.com
How to verify Horizon New Jersey Health, step by step
Get the member ID and date of birth from the card or the patient.
Send the electronic eligibility request (a 270) to payer ID 22326.
Read the response (the 271): status, deductible, max, percentages, frequencies.
Save the breakdown to the patient. With Valian, all four take one click and a few seconds.
Horizon New Jersey Health, quick answers
Does Horizon New Jersey Health support real-time eligibility?
Yes. Eligibility checks to Horizon New Jersey Health clear electronically in seconds through payer ID 22326.
What payer ID do I use for Horizon New Jersey Health?
22326 for eligibility transactions. The same payer also appears on cards as Horizon NJ Health, Mercy Health Plan of New Jersey.
What does a check cost with Valian?
Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees. Sign in and run each check in one click before the visit.
Does Horizon New Jersey Health require enrollment before I can check eligibility?
No. Eligibility checks work from day one, with no payer enrollment paperwork.
Can I get Horizon New Jersey Health remittances electronically?
Yes. Horizon New Jersey Health sends electronic remittance advice (835) after a one-click enrollment, typically a few weeks.
What if the patient's card shows a different Horizon name?
Alternate billing names route to the same payer ID, 22326. The same check covers them.
More questions about verifying Horizon New Jersey Health? Schedule 15 minutes with us and bring your toughest plan.
Check any Horizon New Jersey Health patient in one click, before they walk in.
Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees.
Book 15 minutes, demo or onboarding
Pick a time, then tell us on the form whether it is a demo or an onboarding call.
Other New Jersey dental payers
17 other payers operating in New Jersey also verify in real time, 4 of them with Medicaid plans.
- Aetna Better Health New Jersey46320
- AmeriHealth95044
- AmeriHealth NJ60061
- Braven Health84367
- Clover HealthCRPHP
- Delta Dental of New Jersey22189
- Healthfirst80141
- HealthSpring63092
- Horizon Blue Cross and Blue Shield of New Jersey22099
Medicaid plans in New Jersey: Aetna Better Health New Jersey, Liberty Dental Plan, NJ FamilyCare, UnitedHealthcare Community Plan New Jersey.
Payer names and marks belong to their owners and identify the insurance company a practice can verify. Sample result shown for illustration; real results reflect the patient's actual plan. Payer capabilities can change between network updates.