Patient Care
NJMS Faculty Practice
Office of Managed Care, Contracting,
and Credentialing
Welcome to the site for the Office of Managed Care, Contracting, and Credentialing. This site will provide NJMS faculty and staff the tools to answer general questions related to managed care operations and provider contracts. Here you will find information related to credentialing, referrals, and provider agreements. If your questions or concerns are not answered here, please refer to the For More Information section to contact the Office of Managed Care, Contracting, and Credentialing.
Who Should Use This Site?
This site is designed as a tool for faculty and staff seeking information related to physician credentialing, precertification, preauthorization, and referral information. You may also access limited information regarding billing, claims, provider agreements, and managed care contracts.
Disclaimer
Please note: This site is a tool designed to provide general information only. For detailed or specific information, please contact the member's health plan, utilization management, or the NJMS Faculty Practice Office of Managed Care, Contracting, and Credentialing.
Managed Care Organizations
Group & Individual Health Plans
Click the link for a list of health plans.
To visit an insurance web site directly, click the name of the specific health plan.
Managed Care Organization Contact List
Click the link for a list of contact information for select health plans.
Referral, Precertification, and Preauthorization Requirements
Click the link to review referral, precertification, and preauthorization requirements listed by insurance.
Additional Resources
Participating Laboratory Locations
Click the link to locate a participating LabCorp or Quest Diagnostics laboratory in New Jersey.
This online tool allows providers to test whether or not they would successfully demonstrate meaningful use for the EHR (Electronic Health Record) Incentive Programs. Click here to visit the Medicare and Medicaid EHR Incentive Program website for more detailed information about the program, including who is eligible to participate (CMS.gov).
My UMDNJ-UMDNJ Intranet Gateway
Click the link to connect to the My UMDNJ login page. Access UMDNJ web-based resources such as email and important employee information.
Contact the Office of Managed Care, Contracting, and Credentialing
30 Bergen Street, ADMC Bldg 1 Room 111
Newark, New Jersey 07107
General Tel: 973-972-4908
General Email: NJMEDPhysicians@umdnj.edu
Victoria L. Herzberg, MHSA
Director, Managed Care, Contracting, and Credentialing
(Tel) 973-972-6752
(Fax) 973-972-1635
(Email) herzbevi@umdnj.edu
Esteban Santana III, M. DIV.
Manager, Managed Care Operations (Credentialing)
(Tel) 973-972-6784
(Fax) 973-972-6804
(Email) santanes@umdnj.edu
Mr. Kerry D. Strothers
Managed Care Coordinator (Credentialing)
(Tel) 973-972-1814
(Fax) 973-972-6804
(Email) strothke@umdnj.edu
Barbara Merced
Credentialing Specialist
(Tel) 973-972-1813
(Fax) 973-972-6804
(Email) mercedba@umdnj.edu