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Highmark Provider Manual. Medical Policy Medical Policy. Medical Policies. Medicare Advantage Medical Policies. Requiring Authorization. Pharmacy Policy Search. Message Center. Provider Information Management Forms. Electronic Forms Electronic Forms are submitted directly to Highmark via this website.
Request for Assignment Account — Please use this form when you need to create a billing account for your practice. The guidelines are reviewed annually and updated to ensure they remain current with national guidelines, as well as with national, regional and local standards of medical care. And finally, please be sure to report any changes to us regarding your office, facility, or participating care providers!
Visit our Provider Data Accuracy Compliance page for requirements for accurate, up-to-date provider data in our Provider Directory and instructions on how to make any changes to your information on file with us. The Provider File Management Guide is included there, too, to assist professional providers in reporting changes via NaviNet. You can also find participation information in Chapter 3 of the Highmark Provider Manual. Contact Provider Services in your service area with any questions.
All necessary information must be submitted in order for their enrollment application to be processed making them eligible to serve MCO Medicaid members. You may also email questions to www. Contact Us. Provider Directory. Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania.
Quick Links: Manuals. Highmark Provider Manual.
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