Highmark Health Prior Authorization Form

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Welcome to the Highmark Provider Resource Center

(1 days ago) WEBHighmark's Provider Resource Center is your source for all provider-related information and updates. The PRC offers resources to assist in the treatment of your Highmark …

https://providers.highmark.com/

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Authorization Requirements - Provider Resource Center

(4 days ago) WEBGastric Surgery/Therapy/Durable Medical Equipment/Outpatient Procedures: 888-236-6321. Home Health/Home Infusion Therapy/Hospice: 888-567-5703. Inpatient Clinical: …

https://hbs.highmarkprc.com/Claims-Payment-Reimbursement/Procedure-Service-Requiring-Prior-Authorization

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Authorization Requirements - Provider Resource Center

(Just Now) WEBHome Health/Home Infusion Therapy/Hospice: 888-567-5703. Inpatient Clinical: 800-416-9195. Medical Injectable Drugs: 833-581-1861. Musculoskeletal (eviCore): 800-540 …

https://hdebcbs.highmarkprc.com/Claims-Payment-Reimbursement/Outpatient-Procedures-Service-Requiring-Prior-Authorization

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Forms and Reference Material - Highmark Health Options

(6 days ago) WEBCall Provider Services at 1-844-325-6251, Monday–Friday, 8 a.m.–5 p.m. Provider forms and reference materials are housed here to provide easy access for our Highmark …

https://www.highmarkhealthoptions.com/providers/provider-resources/provider-forms.html

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Pharmacy Prior Authorization Forms - Provider Resource Center

(8 days ago) WEBShort-Acting Opioid Prior Authorization Form. Specialty Drug Request Form. Sunosi Prior Authorization Form. Testosterone Product Prior Authorization …

https://hbs.highmarkprc.com/Forms/Pharmacy-Prior-Authorization-Forms

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Provider Resource Center

(8 days ago) WEBLanguage Form. Lead Screening Analysis Form. MA30 - Hysterectomy English. MA30 - Hysterectomy Spanish. MA31 - Sterilization Form - English. MA300X - …

https://wholecare.highmarkprc.com/Medicaid-Resources/Forms-Reference-Materials

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Prior Authorization Code Lookup - Highmark Health Options

(Just Now) WEBReview the Prior Authorizations section of the Provider Manual. Call Provider Services at 1-844-325-6251, Monday–Friday, 8 a.m.–5 p.m. Or contact your Provider Account Liaison.

https://www.highmarkhealthoptions.com/providers/prior-auth-lookup.html

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Outpatient Therapy Services Prior Authorization Request Form

(4 days ago) WEBUse this form for all physical, occupational, speech, and feeding therapies, pulmonary and cardiac rehabilitation, and chiropractic care. Complete and fax all requested information …

https://www.highmarkhealthoptions.com/content/dam/digital-marketing/en/highmark/highmarkhealthoptions/providers/provider-resources/provider-forms/OutpatientTherapyServices-PriorAuthorizationRequestForm-07262022.pdf

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Outpatient Behavioral Health Prior Authorization Request Form

(3 days ago) WEBPrior Authorization Request Form Highmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, an association of independent Blue Cross …

https://www.highmarkhealthoptions.com/content/dam/digital-marketing/en/highmark/highmarkhealthoptions/providers/provider-resources/provider-forms/OutpatientBehavioralHealthPrior%20Authorization%20Request%20Form_10112022.pdf

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Provider Resource Center

(1 days ago) WEBBEHAVIORAL HEALTH AUTHORIZATION REQUEST FORMS: Discharge Form: GENERAL PROVIDER FORMS & REFERENCES: 2023 Highmark Wholecare …

https://wholecare.highmarkprc.com/Medicare-Resources/Medicare-Forms-and-Reference-Materials

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NON-FORMULARY MEDICATION/MEDICAL NECESSITY PRIOR …

(5 days ago) WEBMedicaid Drug Exception Form. NON-FORMULARY MEDICATION/MEDICAL NECESSITY PRIOR AUTHORIZATION FORM. Please complete and fax all requested information …

https://www.highmark.com/content/dam/digital-marketing/en/highmark/highmarkdotcom/wholecare/wholecare-working-images/documents/pdfs/medicaid/drug-search/medicaid-drug-exception-form.pdf

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Faxes Being Phased Out: Use the Availity Portal for All …

(8 days ago) WEBClinical Services is phasing out fax prior authorization submissions. Providers are required to use the Availity ® portal to electronically submit authorization requests, attach …

https://hbcbs.highmarkprc.com/pnews/pn-4-2024/faxes_being_phased_out_use_the_availity_portal_for_all_authorization_requests.html

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Faxes Being Phased Out: Use the Availity Portal for All …

(Just Now) WEBWest Virginia’s prior authorization law mandates health insurers to require that prior authorization forms, including any related communication, be submitted via an …

https://hwvbcbs.highmarkprc.com/pnews/pn-4-2024/faxes_being_phased_out_use_the_availity_portal_for_all_authorization_requests.html

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Authorization Updates

(5 days ago) WEBTo view the full List of Procedures/DME Requiring Authorization, click REQUIRING AUTHORIZATION in the gray bar near the top of the PRC homepage.. Once redirected …

https://hwnybcbs.highmarkprc.com/pnews/pn-4-2024/authorization_updates.html

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Authorization Forms - Provider Resource Center

(3 days ago) WEBAuthorization Forms. Bariatric Surgery Precertification Worksheet. Behavioral Health (Outpatient - ABA) Service Authorization Request. Home Health …

https://hbs.highmarkprc.com/forms/authorization-forms

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HIGHMARK COMMERCIAL MEDICAL POLICY - PENNSYLVANIA

(3 days ago) WEBHighmark 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. As a …

https://securecms.highmark.com/content/medpolicy/en/highmark/pa/commercial/policies/Injections/I-53/I-53-024.html

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Authorization Requirements - Provider Resource Center

(Just Now) WEBHome Health/Home Infusion Therapy/Hospice: 888-567-5703. Inpatient Clinical: 800-416-9195. Medical Injectable Drugs: 833-581-1861. Musculoskeletal (eviCore): 800-540 …

https://hwvbcbs.highmarkprc.com/Claims-Payment-Reimbursement/Outpatient-Procedures-Service-Requiring-Prior-Authorization

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Prescription Drug Prior Authorization - Provider Resource Center

(4 days ago) WEBCall the Provider Service Center for your region for information regarding specific plans. For patients with pharmacy benefits through FreedomBlue, you can access drug prior …

https://hbs.highmarkprc.com/pharmacy-program-formularies/prescription-drug-prior-authorization

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Pharmacy Prior Authorization Forms - Provider Resource Center

(Just Now) WEBShort-Acting Opioid Prior Authorization Form. Specialty Drug Request Form. Sunosi Prior Authorization Form. Testosterone Product Prior Authorization …

https://hbcbs.highmarkprc.com/Forms/Pharmacy-Prior-Authorization-Forms

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