Mission & Vision | Highmark All Rights Reserved. Box 80 Buffalo, NY 14240-0080 CASE MANAGEMENT 1-800-344-5245 for Highmark West Virginia products 1-800-269-6389 for Highmark Senior Solutions Company Freedom Blue PPO . Web- Claims Mailing Address 233 Specialty/Fee -For Service Providers 253 Highmark Health Options Members with Medicare 254 Mountain State Blue Cross Blue Shield. UCD Educational Videos. THE HEALTH OPTIONS PROVIDER MANUAL | CHAPTER 7.1 5 | Page . Claim Filing Addresses - Highmark Blue Shield Login. Box 890173 Camp Hill, Highmark members looking for a provider will not have access to providers who are no longer listed in our directory. 2. WebIf you have any questions, please contact the SDS support team Monday Friday, 8 a.m. 5 p.m. WebHighmark Blue Cross Blue Shield Delaware P.O. Box 226 120 Fifth Avenue Pittsburgh, PA 15230 issues with claims or providers; general program questions; premium payments, and ID cards call 1-800-344-5245. Highmark Blue Contact Us - Provider Resource Center Highmark WebFILING INSTRUCTIONS 1. Entire contents document.write(new Date().getFullYear()) Highmark Health. Webpostal addresses determine the correct mailing address if you are a provider in Highmark Wes. [{"id":39447,"versionId":6468,"title":"Highmark Transitioning From NaviNet to Availity","type":4,"subType":null,"childSubType":"","date":"6/26/2023","endDate":null,"additionalDate":null,"imageUrl":null,"url":null,"urlText":null,"description":"\u003cp\u003e\u003cspan\u003eHighmark is replacing its existing provider portal, NaviNet\u003csup\u003e\u0026reg;\u003c/sup\u003e, with Availity\u003c/span\u003e\u003csup\u003e\u0026reg;\u003c/sup\u003e\u003cspan\u003e\u0026nbsp;Essentials later this year.\u003c/span\u003e\u003cspan\u003e\u0026nbsp;\u003c/span\u003e\u003ca href=\"https://content.highmarkprc.com/Files/NewsletterNotices/SpecialBulletins/sb-availity-transition-announcement-62623.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" title=\"CLICK HERE\"\u003eCLICK HERE\u003c/a\u003e\u003cspan\u003e\u0026nbsp;to read more about the upcoming\u0026nbsp;transition.\u003c/span\u003e\u003c/p\u003e","longDescription":null,"visible":false,"archive":false,"liveStatus":2},{"id":39210,"versionId":6468,"title":"Highmark Post-PHE Changes","type":4,"subType":null,"childSubType":"","date":"4/7/2023","endDate":null,"additionalDate":null,"imageUrl":null,"url":null,"urlText":null,"description":"\u003cp\u003eWith the expiration of the PHE, Highmark has started the process of updating COVID-19-impacted policies and procedures. 1901 Market Street Hours of operation: 8:00 a.m. to 4:30 p.m. EST. Submit an inquiry and review the Claims Status Detail page. Due to the nature of these investigations, every effort will be made to keep information confidential. Language Assistance. As part of the No Surprises Act and Highmarks Provider Directory requirements, you must verify your information with Highmark every 90 days to Highmark Blue Cross Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association. WebSelect Language ; Select Language; Font size dropdown. These services providers are located in the United States. Disaster or Emergency Information. The Highmark Provider Manual is your primary reference guide to Highmark. WebContact Highmark Blue Cross Blue Shield of Western New York. ET at stream.support@sdata.us or 855-297-4436. If it begins with a 1 and includes 10 digits, your portal has moved! Independence Blue Cross is a subsidiary of Independence Health Group, Inc. independent licensees of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania, Sitemap | Legal | Privacy & other policies | Anti-fraud | Developer resources, Language access: Espaol | / | Tagalog | Franais | Ting Vit | Deutsche | | | | | | | Italiano | Portugus | Kreyl | Jzyk | Polski | | Pennsylvania Deitsch | | Din bizaad, The widest choice for quality care in the region, Comprehensive plans for every business size and budget, Affordable Medicare health and prescription drug plans that meet your needs, Find a particular provider, specialist, hospital, or specialty facility, Understand and maximize your prescription drug benefits, Resources to support your behavioral, physical and emotional health, Exclusive programs and tools designed to help you live a healthier life, Free classes and seminars for IBX members, Convenient online resources and services for our groups, Everything you need to sell Independence Blue Cross, Find doctors, hospitals, medical equipment, and specialty services, Children's Health Insurance Program (CHIP), Critical illness, accident, and cancer insurance, Critical illness, accident and cancer insurance, Uprise Health Employee Assistance Program, Precertification and cost-share requirements, Medical policy and precertification inquiry, Provider communications email sign up form, Claims requiring submission of clinical information, Independence Provider Network Services (PNS) team contact, Provider Communications Email Sign-up Form, Precertification requests for CT/CTA, MRI/MRA, PET, nuclear cardiology, facility setting sleep studies, continuous positive airway pressure titration, sleep equipment (APAP, BPAP, CPAP) and related supplies, Cardiology Utilization Management Program, and Musculoskeletal Utilization Management Program, Precertification requests for nonemergent outpatient radiation therapy services Precertification and/or prepayment reviews for genetic/genomic tests, certain molecular analyses, and cytogenetic tests. If you want in-network access to Highmarks full provider network, you may wish to consider our Security Blue HMO-POS and Freedom Blue PPO Medicare Advantage products. highmarkbcbs To inquire about electronic billing, call EDI Operations at 1-800-992-0246. Highmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, Page 4 of 4 an association of independent Blue Cross Blue Shield Plans. Please note that the 180-day appeal deadline will still apply if you choose WebWest Virginia Help Center: Important contact information for Highmark Blue Cross Blue Shield West Virginia. 614 Market Street PROVIDER INQUIRY FORM. Quick Reference Directory of Pennsylvania Blue Shield Box 8830 Wilmington, DE 19899 Customer Service. 1-866-588-6967 It's: Highmark Health Fifth Avenue Place 120 Fifth Avenue Pittsburgh, PA 15222-3099 (412) 544-7000 Fields marked with an asterisk (*) are required. WebHighmark Blue Shield P.O. Blue Cross, Blue Shield and the Blue Cross and Blue Shield symbols are registered marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. WebContact Us Contact Us If you suspect fraud, contact your local Financial Investigations & Provider Review Department within Highmark. Highmark Blue Cross Blue Shield of Western New York is an independent licensee of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. Highmark Provider Web Portal WebWelcome to the Highmark Provider Portal. WebProvider BSID: Admitting/Servicing Provider's Address: Street: City: State: Zip Code: This information is issued by Highmark Blue Shield on behalf of its affiliated Blue companies, which are independent licensees of the Blue Cross Blue Shield Association. Delaware 7248 Tilghman St. Allentown, PA 18106. Investigation Inquiry in NaviNet or as an 837 . 6/27/2023. WebHighmark Health Options Community Support can connect you with local programs, resources, and support to help you navigate your health care choices. WebUse of Self-Service Tools Now Required For Routine Claims Inquiries. Claims submissions and disputes Please mail your dental claims to: Blue Cross Blue Shield of North Carolina Attn: Dental Blue Claims Unit PO Box 2100 Winston-Salem, NC 27102 CLM-117 (R11-14) PROVIDER POST SERVICE APPEAL FORM INSTRUCTIONS: 1. (iii) for purposes relevant to corporate policies or litigation to the extent permitted under applicable law or when it is prescribed in GDPR or other applicable law. Highmark Inc. is a national, diversified health care partner based in Pittsburgh that serves members across the United States through its businesses in health insurance, dental insurance, vision care and reinsurance. Credentialing and re-credentialing application status inquiries, Prescription drug prior authorization 24 hours a day, 7 days a week, Provider Services (direct all inquiries or issues directly to Independence Administrators), For Keystone Health Plan East Members with Caring Foundation benefits. WebHighmark Provider Manual. WebClaims submission. But if you need to contact us, below are the telephone numbers exclusively for providers. Highmark (Pennsylvania and Delaware) Inpatient Clinical: 800-416-9195. Highmark Blue Shield of Northeastern New Highmark Trust. Medicaid or Child Health Plus member, please login here. Highmark Blue Cross Blue Shield of Western New York Member site. WebStandard Rates for medical specialty drugs and injections are reimbursed at the Average Sale Price (ASP) minus 6%. Saturday & Sunday: Closed, Corporate Address: Provider Regular; Large; Largest; Font size dropdown. Buffalo, NY 14240-0080. Complete the Provider Communications Email Sign-up Form to receive email updates with the latest information, including Partners in Health UpdateSM. If you have questions about your Highmark Highmark Blue Cross Blue Shield. Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Provider Contact Health benefits or health benefit administration may be provided by or through Highmark Blue Cross Blue Shield, to My Shield Online and then click "Messages." Call 888-261-9562 to reach Premera's BlueCard claims customer service team. Service by using the Internet? Contact Us. Toggle Menu. Youll also get many kinds of treatment for Learn about submitting claims. Box 535191 Pittsburgh, PA 15253-5191. Community Blue WebBlue Cross Blue Shield of Delaware Standard Companion Guide any Highmark customer (Provider, Billing Service, Software Vendor, Employer Group, Financial Institution, etc.) Committing to the highest standards encompassing every aspect of our behavior including high moral character, respect, Report suspected health care fraud anonymously via the above phone numbers or theHealth Care Fraud Form. Provider services For provider questions and claims issues: Phone: 1-866-231-0847.
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