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Horizon Blue Cross Blue Shield

Contracting

Get Contracted

Information

Find a provider


Forms & Guides

Contact Information


Application Submission Options

  • Fax: 1-973-377-6887
  • Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

2026 Certification Information

Information is subject to change. Please refer to carrier website for most up to date forms and guides.

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Humana

Contact Information


Application Submission Options

  • Online Enrollment
  • Fax: 1-877-889-9936
  • Enrollment forms cannot be downloaded. Please contact URL for the enrollment form.
Information is subject to change. Please refer to carrier website for most up to date forms and guides.

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Johns Hopkins

Contact Information


Application Submission Options

  • Online Enrollment
  • Fax: 1-855-825-7723
  • Mail: Johns Hopkins Advantage MD
    PO BOX 3538
    Scranton, PA 18505

2026 Certification Information

Information is subject to change. Please refer to carrier website for most up to date forms and guides.

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Kaiser Permanente

Contact Information


Application Submission Options

  • Fax: 1-855-355-5334
  • Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
  • Mail:
    Kaiser Permanente – Medicare Unit
    P.O. BOX 232400
    San Diego, CA 92193-2400

2026 Certification Information

Information is subject to change. Please refer to carrier website for most up to date forms and guides.

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UnitedHealthcare

Contact Information


Application Submission Options

  • Online Enrollment
  • Fax: 888-950-1170
  • Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
Information is subject to change. Please refer to carrier website for most up to date forms and guides.

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