Hbs.highmarkprc.com
Provider Resource Center
Highmark continually strives to enhance the quality of care and service to our members. One of the ways this is accomplished is via the Highmark Preventive Health … See more
Actived: 6 days ago
URL: https://hbs.highmarkprc.com/Provider-Training/Provider-Orientation
Provider Resource Center
WebBehavioral Health Need: Support Program: Depression/anxiety, o bsessive-compulsive disorder (OCD), and post-traumatic stress disorder (PTSD)/panic disorder. Charlie Health – Joint Commission-accredited mental health intensive outpatient (IOP) facility serving teens and young adults.. Available to Commercial and Medicaid members …
Claim Payments and Remittances to be provided by PNC …
WebBeginning November 8, 2021, claim payments will be generated from PNC-ECHO Health Trust rather than Highmark Inc. Electronic Remittance Advices (ERAs) will be distributed using the ECHO Payer ID 58379. These changes do not apply to Highmark Health Options, Highmark Blue Cross Blue Shield Western New York, or Highmark Blue Shield …
Provider Resource Center
WebHighmark will also post communications here on the Provider Resource Center, and Availity may announce new features and training opportunities on their in-portal message center. For Help. For Availity Client Services assistance, call 1-800-AVAILITY (282-4548) or, within the Availity portal, click Help & Training and then click on Availity …
Provider Resource Center
WebAttached please find the following documents to help you start the credentialing process: Initial Application for Facility and Ancillary Providers. Organizational Provider Participation, Credentialing, and Contracting Requirements. Highmark Provider Manual Chapter 3, Unit 4. Urgent Care Center/Medical Aid Unit and Retail Clinic …
Provider Resource Center
WebBelow is additional background information and frequently asked questions about the transition.. Overview; Registration; Training; Transactions; Reporting . Overview What is Availity? Availity ® is a company that operates a multi-payer provider portal, called Availity Essentials, with easy-to-use online tools for health care providers. Established in 2001, …
Provider Resource Center
WebTo help you get acquainted with working together, we offer tools and resources through our Provider Resource Center (PRC). The Highmark PRC is the central location for helpful information such as: The Highmark Provider Manual. Forms. Important announcements and updates. Medical, reimbursement, and pharmacy policies. Provider …
The Transition to a New Provider Portal
WebThe transition to Availity will occur in stages. Here’s the scheduled timeline: August and September 2023: Highmark will engage a pilot group of providers to ensure a seamless transition. October 22, 2023: Providers who currently use Availity for other payers will see Highmark as an option in the states where they are contracted. February 5
Provider Resource Center
WebBehavioral Health Fax Number for Authorization Requests: 1-877-650-6112. For precertification or continued stay review requests for Behavioral Health treatment, please submit relevant clinical information via fax to 1-877-650-6112. Submission of the complete medical record may slow down the process and is not an efficient way to …
Provider Resource Center
WebTrue Performance Home Health Pay-For-Value Program. Highmark continues the evolution of our efforts to reinforce and improve quality, enrich our member experience, and reduce the overall cost of care by supporting home health providers with the flexibility to implement innovative care delivery models focused on health outcomes …
Health Wire: Health Care in the Palm of Your Hand
WebHighmark has launched Health Wire — a free, secure mobile messaging service for our members. Health Wire provides members who opt-in with wellness reminders and cost-focused tips via their smartphones. Members can gain a better understanding of their Highmark benefits, learn how to make more cost-effective health care choices, and may …
New and Updated Reimbursement Policies
WebRP-026 Portable Radiography and ECG Services. A “Related Highmark Policies” section was added. RP-041 Services Not Separately Reimbursed. Codes 38204, 90889, 92605, 92606, 92618, 93740, and R0076 were added for Commercial products. These codes will be considered not separately reimbursed and rejected as non-billable to the member.
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