Wholecare.highmarkprc.com

Provider Resource Center

Netsmart and Highmark Wholecare (formerly known as Gateway Health LLC) enhanced the Missed Visit Workflow. Below you will find the User Guide for the … See more

Actived: 5 days ago

URL: https://wholecare.highmarkprc.com/Provider-Resources/Netsmart-Electronic-Visit-Verification-EVV

Clinical Guideline: The Diagnosis, Evaluation, and Treatment of

WebThe percentage of members 5 -64 years of age who were identified as having persistent asthma and had a ratio of controller medications of 0.50

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Medicaid Provider Policy and Procedure Manual

WebMedicaid . Provider Policy and Procedure Manual. Please visit our website at HighmarkWholecare.com . 2023 Edition . For inquiries, please call Provider Services at

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Provider Resource Center

WebBehavioral Health Provider Toolkit Overview. In alignment with the mission and values of Highmark Wholecare, promoting Wholecare which is a whole health model of care in which an individual’s health and well-being is supported across behavioral, …

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Adult Preventative Guidelines (21 & Over) , 2023 Changes for …

WebAdult Preventative Guidelines (21 & Over) Line of Business: PA Medicare Assured . Date of QI/UM Committee Review and Adoption: April 19th, 2023 . Changes for 2023

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Provider Resource Center

WebGuidelines, Resources and More for Our Providers. These resources are for Federally Qualified Health Centers and Rural Health Clinics. They include provider in-service materials, billing information, roster template and instructions, provider portal …

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Provider Resource Center

Web02/01/2024. Endoscopic Ultrasound (EUS) and Endoscopic Retrograde Cholangiopancreatography (ERCP) Medical Policy. PA Medicaid. 10/01/2023. Enteral Feeding In-Line Cartridge (EFIC™) Medical Policy.

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Provider Resource Center

WebProvider Network. The SNP provider network is a network of health care providers who are contracted to provide health care services to SNP beneficiaries. SNPs must ensure that their MOC identifies, fully describes, and implements the following elements for their …

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Provider Resource Center

WebProviders will continue to have the ability to access and receive electronic remittances through ECHO Health by: Downloading Electronic Remittance Advices (ERAs) directly from the ECHO Health provider web portal to bypass dependency on a …

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Provider Resource Center

Web2024 Annual Provider Education and Orientation Training - New Link. Provider Claim Education: 2024 ICD-10-CM Updates & Highlights. December 5, 2023, at 12:00PM – 1:00PM Click here to register. Key Speaker: Tina Williams, Highmark …

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Provider Resource Center

WebNon-Participating Provider Complaint Form. Obstetrical Needs Assessment Form (ONAF) Opioid - CDC Guideline for Prescribing Opioids for Chronic Pain. Optum OB User Guide. Outpatient Program Exceptions Request – Please submit via Navinet. PNC …

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