My Care Navigator assists with your health care needs. As a partner in joint operating agreements, Highmark Blue Shield also provides services in conjunction with … Highmark, and its affiliates, operate health insurance plans in Pennsylvania, Delaware and West Virginia that serve 5.3 million members and … Highmark's mission is to be the leading health and wellness company in the communities we serve. CGI Call Center for Highmark Phone number: (877) 817-5954 Mon-Fri 8:00 a.m. to 5:00 p.m. EST E-mail Address: Highmark.helpdesk@cgi.com Fax - Medical Records: (216) 687-4249 Fax - Appeals / Additional Info: (216) 685-9418. Hot Topic Library. Special Bulletin New Opportunity to Make More Information about Your Practice Available to Highmark Members eviCore does not provide Blue Cross and/or Blue Shield products or services. Reminder: Out-Of-Area Blue Plan Providers Required to Obtain Prior Authorization for Outpatient Services. NaviNet is a registered trademark of NaviNet, Inc., which is an independent company that provides secure, web -based portal between providers and health insurance companies. Call and talk with a Highmark licensed representative for help with non-Medicare plans or enrollment. Correction: Medical Policy M-13: Intraoperative Neurophysiologic Monitoring. Monday-Friday: 9:00 am - 7:00 pm; Saturday: 9:00 am - 2:00 pm; Sunday: Closed (TTY/TDD:711) Central PA: (855) 865-4326; Western PA: (855) 865-4325; Northeast PA: (855) 856-0316; Delaware: (855) 329-1759; West Virginia: (855) 329-1758 If you’d like to know if a particular Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. It's free! The network services Highmark Blue Shield’s PPOBlue, DirectBlue and SelectBlue plans, as well as the national BlueCard program. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Provider Information Management forms are used to maintain provider accounts as well as begin the process to join Highmark's networks for new practitioners and offices. Reminder: Out-Of-Area Blue Plan Providers Required to Obtain Prior Authorization for Outpatient Services. Provider Information Management To obtain the status of a provider’s application for participation with any Highmark provider network, please contact Provider Data Services at (866) 763-3224 (option 4). VIEW LIBRARY. If you require special assistance, including accommodations for disabilities or limited English proficiency, please call us at 1-800-876-7639 or TTY at #711 to receive assistance free of charge. ATTENTION: PHYSICAL THERAPISTS AND DOCTORS OF CHIROPRACTIC MEDICINE Highmark is your partner in good health - at the doctor's office, at work, and throughout the community. Please carefully read and follow the instructions contained within the individual form for submission. Take a look at a few of the amazing things happening near you. Read. Practice information updates can be made with many of the forms below. After you submit your form successfully, Highmark will retain an electronic copy of your CAQH ProView profile in its database and will send you a confirmation email. Read. HIGHMARK PROVIDER MANUAL . Community Blue Medicare HMO is a limited network plan. Our vision is to ensure that all members of the community have access to affordable CGI Technologies and Solutions Inc. … error: [description] Object reference not set to an instance of an object. 2020 Plan Documents eviCore is a is a separate company that works with Highmark to administer the Lab Management Program. eviCore is solely responsible for the products and services described here. Make an appointment online instantly with Dentists that accept Highmark Blue Cross Blue Shield insurance. Highmark is the largest health insurer in Pennsylvania with 4.7 million members. Highmark is a registered mark of Highmark Inc. Blue Shield and the Shield symbol are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Highmark Blue Cross Blue Shield: my Blue Access PPO Bronze 3800 Coverage for: Individual/Family Plan Type: PPO ... receive a bill from a provider for the difference between the provider’s charge and what your plan pays (balance billing). Correction: Medical Policy M-13: Intraoperative Neurophysiologic Monitoring, Correction: Medicare Advantage Policy N-32: Serum Iron Studies - NCD 190.18, January is Cervical Cancer Awareness Month, Correction: Medical Policy S-204 Endoscopic Radiofrequency Ablation / Cryotherapy, Correction to Medical Policy MA I-161, Irinotecan Liposomal (Onivyde), Antibiotic Awareness Week Highlights Appropriate Prescribing And Use, Reminder: Out-Of-Area Blue Plan Providers Required to Obtain Prior Authorization for Outpatient Services. Correction: Medical Policy M-13: Intraoperative Neurophysiologic Monitoring, Correction: Medicare Advantage Policy N-32: Serum Iron Studies - NCD 190.18, January is Cervical Cancer Awareness Month, Correction: Medical Policy S-204 Endoscopic Radiofrequency Ablation / Cryotherapy, Correction to Medical Policy MA I-161, Irinotecan Liposomal (Onivyde), Antibiotic Awareness Week Highlights Appropriate Prescribing And Use, Reminder: Out-Of-Area Blue Plan Providers Required to Obtain Prior Authorization for Outpatient Services. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Hot Topic Library. Hot Topic Library. Section 3 … Highmark Choice Company is an HMO plan with a Medicare contract. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. All appointment times are guaranteed by our Highmark Blue Cross Blue Shield Doctors & Providers. All appointment times are guaranteed by our Highmark Blue Cross Blue Shield Dentists & Providers. The Highmark Provider Manual, first published in April 2018, is the result of the consolidation of the former Highmark Blue Shield Office Manual for professional providers and the Highmark Facility Manual.. Read. Provider Information Management forms are used to maintain provider accounts as well as begin the process to join Highmark's networks for new practitioners and offices. It is contracted to manage a network of dental providers for Highmark and Highmark Health Insurance Company. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Provider data changes can be made by visiting NaviNet or by using the Provider Information Management Forms section of the Provider Resource Center. It's free! Highmark Blue Shield statewide facility network (which includes the First Priority Life facility providers) and PremierBlue Shield professional physician network BlueCare EPO (FPLIC) EPOBlue (HBCBS) Highmark Blue Shield statewide facility network (which includes the First Priority Life facility providers) and Prior Authorization To Be Required For Outpatient Services When Provided By An Out-Of-Area Blue Plan Provider. Highmark Choice Company is an HMO-POS plan with a Medicare contract. Practice information updates can be made with many of the forms below. With Security Blue HMO-POS, you get covered care from its large network of providers in 28 counties in western Pennsylvania. Find Highmark Blue Cross Blue Shield Dentists & Providers with verified reviews. Enrollment in Highmark ChoiceCompany depends on contract renewal. Welcome to the Highmark Provider Portal. Information on this website is issued by Highmark Blue Shield on behalf of its affiliated Blue companies. Highmark is available to handle EDI transactions 24 hours a day seven days a week, except during scheduled system maintenance periods. We are committed to providing outstanding services to our applicants and members. Highmark has also partnered with Bright Heart Health to provide our members with comprehensive addiction treatment services for opioid use disorder via telemedicine. All appointment times are guaranteed by our Vandergrift Doctors. Make an appointment online instantly with Doctors that accept Highmark Blue Cross Blue Shield insurance. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Find Highmark Blue Cross Blue Shield Doctors & Providers with verified reviews. Our vision is to ensure that all members of the community have access to affordable Find doctors, check to see if your prescriptions are covered, calculate costs, and more. 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. Our team is ready to help you find a doctor or … Highmark Inc. d/b/a Highmark Blue Shield and certain of its affiliated Blue companies serve Blue Shield members in the 21 counties of central Pennsylvania. Upon forming a partnership with Mountain State Blue Cross Blue Shield in 1999, Highmark became the primary licensee of the Blue Cross and Blue Shield service marks in West Virginia. If you aren’t clear about any of the underlined terms used in this form, see … 2 of 11 Highmark Blue Cross Blue Shield: my Lehigh Valley Flex Blue HMO 2500S Coverage Period: 01/01/2017 - 12/31/2017 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family | Plan Type: HMO Questions: Call 1-888-510-1084 or visit us at www.highmarkbcbs.com. PremierBlue Shield is Highmark Blue Shield’s statewide, selectively contracted preferred provider network that was implemented in January 1994. Highmark Blue Cross Blue Shield understands the importance of helping our members find Network health care providers who are accessible to people with physical disabilities and who can communicate with people who have sensory disabilities. Lab & radiology provider access —Luzerne & Lackawanna counties only ... Blue Shield is an independent licensee of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. Zocdoc helps you find Doctors in Vandergrift and other locations with verified patient reviews and appointment availability that accept Highmark Blue Cross Blue Shield and other insurances. VIEW LIBRARY. Correction: Medical Policy M-13: Intraoperative Neurophysiologic Monitoring. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Last updated on 3/4/2019 If you’d like to know if a particular If you want access to Highmark’s full provider network, including UPMC hospitals and physicians, you may wish to consider our Security Blue HMO-POS and Freedom Blue PPO Medicare Advantage products. Correction: Medical Policy M-13: Intraoperative Neurophysiologic Monitoring. error: [description] Object reference not set to an instance of an object. VIEW LIBRARY. Find Highmark Blue Cross Blue Shield Doctors in Vandergrift, Pennsylvania & make an appointment online instantly! Highmark Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association. Highmark Health Options Partners with Providers to Help Offer the Best Care Highmark Health Options has a vast network of providers to offer the best in class healthcare programs to Delaware Medicaid and Delaware Healthy Children Program (DHCP) members and Long-Term Care (DSHP Plus) members. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Shield understands the importance of helping our members find Network health care providers who are accessible to people with physical disabilities and who can communicate with people who have sensory disabilities. Telemedicine Appointments: Highmark contracts with three Blue Cross Blue Shield Association (BCBSA) approved telemedicine vendors – American Well (Amwell)™, Doctor On Demand™, and Teladoc™. Be aware your network provider might use an out-of-network provider for some Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Please carefully read and follow the instructions contained within the individual form for submission. Highmark's mission is to be the leading health and wellness company in the communities we serve.