Services

Medical Network

Our contracted doctors, facilities and other health care professionals are focused on providing claimants with the right treatment, by the right professionals, at the right price.

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Unlike a typical health network, Horizon Casualty Services (HCS) physicians are specifically contracted for both workers' compensation and personal injury protection (PIP) and are required to see patients the same day of injury, if necessary, without an appointment. Our network physicians know the importance of timely and accurate diagnosis and treatment. Emphasis on a prompt, safe return to work and/or full functionality enables claimants and their insurers to achieve desired mutual benefits.

Facilities
The HCS network has a broad base of New Jersey acute care hospitals, rehabilitation hospitals, ambulatory surgical centers, skilled nursing facilities and extended care facilities. We are increasingly contracting with anesthesia groups for care delivered at in-network hospitals and ambulatory surgery centers.

Doctors and Other Health Care Professionals
Our network consists of doctors and other health care professionals who specialize in treating the types of injuries that result from work-related and automobile accidents. Our contracted medical professionals understand our clients' expectations and continually seek to deliver optimal treatment and return-to-work outcomes.

In addition, some of our doctors participate in the HCS Outcomes-Focused-Network, which focuses on care delivery using evidence-based medical guidelines. Care is delivered conservatively, avoiding the use of opioids and unnecessary surgery. Please email or call HCS at 1-800-985-7777 for additional information on our Outcomes-Focused Network program.

Ancillary Network
The HCS network includes:

  • Diagnostic imaging centers
  • Durable medical equipment (DME) providers
  • Electrodiagnostic testing (EMG/nerve conduction study) specialists
  • Physical therapy centers
  • Prosthetics/orthotics specialists
  • Specialized musculoskeletal drug formulary and integrated quality and utilization management program provided by Prime Therapeutics LLC
  • Specialty ancillary providers for those cases requiring chronic care management

Prime Therapeutics LLC is an independent company providing pharmacy benefit management services for Horizon BCBSNJ members.