Hwvbcbs.highmarkprc.com

Provider Orientation

And finally, please be sure to report any changes to us regarding your office, facility, or participating care providers! Visit ourProvider Data … See more

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URL: https://hwvbcbs.highmarkprc.com/Provider-Training/Provider-Orientation

Provider Resource Center

WebProfessional Initial Credentialing Set Up. The Council for Affordable Quality Healthcare (CAQH) implemented CAQH ProView as a next generation system replacing …

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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, …

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Provider Resource Center

WebHelion is a health care technology and services company that helps payers cultivate high-performing networks while empowering providers to operate at their best — and in doing …

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Hypertension Management Program Offers Free Blood Pressure …

WebFEP has initiated the Hypertension Management Program to provide free electronic blood pressure monitors to FEP enrollees over age 18 who have a diagnosis of hypertension, …

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New DME Fee Schedule, MCG Transition, and More

WebNew DME Fee Schedule. Highmark Blue Cross Blue Shield West Virginia routinely reviews its fee schedule reimbursement rates and adjusts, as necessary, to maintain appropriate …

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Maternity Case Management Programs: Supporting Expectant …

WebIf you feel that any expectant mothers you care for can benefit from any of these programs, you can refer them to these programs as follows: By Phone. MOMS Program: Call (833) …

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Provider Resource Center

WebThe Medical Policy Department, in collaboration with physician specialists, develop and maintain medical necessity and coverage guidelines for all medical-surgical products for …

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Provider Resource Center

WebIn anticipation of an upcoming change in West Virginia Law (Senate Bill 267), Highmark is encouraging all providers to submit prior authorization requests …

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You May Be Asked to Submit Member Charts for Retrospective …

WebIn coming weeks, you may be asked to submit individual member medical records to Highmark for review to comply with Centers for Medicare & Medicaid Services (CMS) …

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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 …

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