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Provider Resource Center

NEWPROCESS FOR ENROLLMENT Providers can enroll in our health plan by completing the Initial Credentialing Request Formand registering with the Council … See more

Actived: 6 days ago

URL: https://hnenybs.highmarkprc.com/Credentialing/Credentialing/Credentialing-NY

Reference Guide of Highmark Member Programs for 2024

WebTo help you and your staff answer those inquiries, we recently published the Reference Guide of Highmark Member Programs on the Provider Resource Center (PRC). The …

Category:  Health Go Health

New and Updated Reimbursement Policies

WebThe American Medical Association has released new codes 91312, 91313, 0124 A, 0134 A, which are retroactively effective August 31, 2022, and are being added to the policy. …

Category:  Medical Go Health

Welcome Highmark Blue Shield of Northeastern New York

WebWelcome Highmark Blue Shield of Northeastern New York. Since completing the affiliation between Highmark Inc. and HealthNow New York Inc. earlier this year, our organizations …

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Provider Resource Center

WebBehavioral Health Application For Organizational Providers - This application is to be used by organizational providers only. Professional providers should select …

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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 …

Category:  Health Go Health

Medical Policy Update

WebMedical Policy Update is a monthly newsletter for the health care providers who participate in our networks and submit claims to Highmark Blue Shield of Northeastern New York …

Category:  Medical Go Health

Physical Medicine Update: Prior Authorization Changes Moved …

WebHighmark Blue Shield (BS) is delaying the prior authorization requirement for outpatient physical medicine services until April 1, 2024.At that time, these changes — which …

Category:  Medicine Go Health

Provider Resource Center

WebHighmark's Kidney Health Management (KHM) program (Powered by Healthmap) uses advanced analytics to identify and support patients diagnosed with …

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Public Health Emergency Ending: Updates for Providers

WebOn January 30, 2023, the federal government announced that the COVID-19 public health emergency (PHE) will expire on May 11, 2023.. In response to the COVID-19 pandemic …

Category:  Health Go Health

PT, OT, Chiro, and Home Health: Prior Auth Changes Occurring on …

WebFor Highmark Blue Shield members in commercial plans, providers will need to request authorization for outpatient physical medicine and home health services, effective April …

Category:  Medicine Go Health

Diabetes Patients Moving to Well360 Diabetes Management

WebBeginning July 1, your Highmark Blue Shield of Northeastern New York patients with Type 2 diabetes (ages 18 and older) will be offered Well360 Diabetes Management powered by …

Category:  Health Go Health

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