Highmarkblueshield.com

Highmark Blue Shield: Medical Policy Selection

WebHighmark Blue Shield: Medical Policy Selection. Highmark's medical policy guidelines address both clinical and claim payment reimbursement issues. These guidelines …

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URL: https://www.highmarkblueshield.com/content/dam/highmark/en/highmarkblueshield/member/medicalpolicy/hbs-medical-policy-selection.html

Health Plans for Individuals and Families HBS

Web100%; exempt from deductible Not covered. 80% after deductible 60% after deductible Newborn care covered for first 31 days. 80% after deductible 60% after deductible. 80% …

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See a Doctor on Your Time 24/7

WebHighmark Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association. To determine the availability of services under your health plan, please …

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GENERAL HEALTH CARE SCREENINGS/PROCEDURES

WebMammogram. Ages 40 and older: Once a year including 3D. Osteoporosis (Bone Mineral Density) Screening. Ages 65 and older: Once every 2 years, or younger if at risk as …

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Flexible choices for better health care.

Web2 Take good care of yourself by letting Highmark take care of you. Shopping for health insurance can be overwhelming. That’s why we’ve created this brochure that takes you

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WELLNESS PROFILE

WebHIGHMARKBLUESHIELD.COM The Wellness Profile is a great first step to take charge of your health. This self-health assessment covers all aspects of your

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Coverage Details

WebCoverage Details. Detailed below, you will find the most current Summary of Benefits for each plan. Reviewing a plan’s SBC may make it easier to understand its benefits and …

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Highmark Frequently Used Contact Information

WebMedical/Surgical or Home Health: 1-800-248-4180, option 1 Behavioral Health Services: 1-800-628-0816, option 3 Healthcare Management Services via Provider Line: 1-800-547 …

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Pregnancy Health Center

WebThe transducer emits inaudible sound waves, which fan out as they travel through your abdomen. When they hit dense structures like the fetus and the wall of your uterus, the …

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BlueCard Program Frequently Asked Questions

WebThis may indicate that the claims are handled outside the BlueCard Program. Please look for instructions or a telephone number on the back of the member’s ID card for how to file …

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Pregnancy Health Center

WebAbout Ultrasound. If you're like most women, you'll have a routine ultrasound so your doctor can get information on your baby's health. Though this brief (5 to 10 minutes) and …

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Understanding Your Options What are Highmark Special Care …

WebCHIP AND Special care INCOME gUIDELINES *You can review comprehensive income information that outlines specific income level requirements at …

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Understanding Your Options What are Highmark Special Care …

WebFree CHIP Low-Cost CHIP Full-Cost CHIP None $54.69-$87.51 for one child $273.32 for one child None $109.38 -$175.02 for two children $546.64 for two children

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National Provider Identifier FAQ Q. What is an NPI

WebA "health care provider" is defined as an individual, group, or organization that provides medical or other health services or supplies. This includes: • physicians and other …

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HOW TO READ YOUR EXPLANATION OF BENEFITS (EOB) …

Web1 CONTRACT HOLDER NAME – the health care coverage is listed under this person’s name. MEMBER ID – contract holder’s member identification number. CLAIM ACTIVITY …

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IMPORTANT INFORMATION….

WebCoverage for your dependent child is available until the dependent child reaches the age of 26, regardless of whether the dependent child is unmarried, married or is a student. The …

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MEMBER CHANGE FORM

WebPlease fax Member Change Forms to (800) 290-3301 or mail the forms to one of the following addresses: https://[email protected]. Membership …

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Unit 6 Highmark Blue Shield Members Overview

WebFor more information about the BlueCard Program, please see pages 6-11 through 6-13 of this manual. For members who are ID cards display the suitcase logo, you may verify …

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Claim Filing Addresses

WebOCTOBER, 2008 Claim Filing Addresses – Western Region Only Electronic Claim Submission NaviNetSM is the fastest way to submit claims to Highmark. If your office is …

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Unit 1 Indemnity Products Final 3.24.06

WebHealthcare Management Services can be reached at (866) 803-3708, option 1, between the hours of 8:30 a.m. and 7:00 p.m., Monday through Friday, and 8:30 a.m. to 4:30 p.m. on …

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10 Act 68 “Clean Claim” and “Prompt Payment” Processes

Web10 “Clean Claims”. was signed into law in June of 1998 and became effective January 1, 1999. “clean claims” within 45 days of receipt. A clean claim is defined as “a claim. for …

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The medical information found on the MediWells website is designed to support, not to replace the relationship between patient and physician and the medical advice they may provide.