Highmark provider services number

Author: dkjr

August undefined, 2024

WebHighmark, out-of-network providers are required to accurately report services performed and fees charged. All providers who submit claims to Highmark must obtain an individual National Provider Identifier (NPI) number. Highmark will only make payments for eligible services rendered by a provider with a valid NPI. To learn more about obtaining an WebTelephone: For inquiries that cannot be handled via NaviNet, call the appropriate Clinical Services number, which can be found here. Additional information on authorizations can be found in Chapter 5 (Care & Quality Management) of the Highmark Provider Manual. Care Management Programs

Highmark Provider Manual: Highmark Contact Information for …

WebEffective February 13, 2024, Highmark will incorporate MCG Health clinical guidelines into Highmark’s criteria of clinical decision support, replacing Change Healthcare (InterQual). This change is being made to align the clinical review … Web(Summarizes the major purpose and primary responsibilities) This job is responsible for the daily activities of the Financial Investigations & Provider Review (FIPR) department. The FIPR strategic plan focuses on the detection and investigation of fraud, waste and abuse (FWA) and the recoupment of related overpayments related to the company’s… fischer stove buffalo stove

Highmark Inc. announces completion of affiliation with ...

WebImportant Legal Information: Highmark Blue Shield, Highmark Benefits Group, Highmark Choice Company, Highmark Senior Health Company, and/or Highmark Health Insurance Company provide health benefits and/or health benefit administration in the 21 counties of central Pennsylvania and 13 counties in northeast and north central Pennsylvania. Webresearch, contact Highmark’s Provider Services for your service area as indicated below. Please listen carefully to the available options to reach the appropriate area for your … WebHIGHMARK PROVIDER MANUAL Chapter 1.2 . 1 Page. West Virginia Contact Information ... Virginia Customer Service at the appropriate number: • Parkersburg: 1-888-809-9121: or : 304-424-7701 • Wheeling: 1-800-654-5028: or : 304-234-7012 • Federal Employee Program (FEP) – Parkersburg: fischer street torquay

Contact Us

WebFor non-routine inquiries that require analysis and/or research, contact Highmark’s Provider Services. PENNSYLVANIA: • Western Region: Professional Providers . 1-800-547-3627; Facilities . 1-800-242-0514 Hours of Availability: 8 a.m. to 5 p.m. EST, Monday through Friday • Central & Northeastern Regions: Professional Providers . 1-866-731-8080 fischerstrand bansinWebWe are committed to providing outstanding services to our applicants and members. If you require special assistance, including accommodations for disabilities or limited English proficiency, please call us at 1-800-876-7639 or TTY at … camping world new braunfels texas 78130

"WebNov 30, 2024 · Live NaviNet Customer Care is available Monday - Friday, 8:00 a.m. - 11:00 p.m. and Saturday, 8:00 a.m. - 3:00 p.m. eastern standard time. To speak to a NaviNet Customer Care Representative directly, please call during the hours listed above at 1-888-482-8057. For TDD/TTY services, please call 1-800-480-1419. " - Highmark provider services number

Highmark provider services number

WebPennsylvania Help Center: Important contact information for Independence Blue Cross, Highmark Inc. and Capital BlueCross. ... For other language assistance or translation services, please call the customer service number for your local Blue Cross and Blue Shield company. Contact Us. National Information Center 1 (800) 411-BLUE; Join our Email List. WebPPO: Call the customer service number listed on your member ID card. Out-of-Area BlueCard PPO Providers: 1-800-810-BLUE (2583) _____ Additional Contact Information Pharmacy Program. 1-800-423-1973. Membership Address. Blue …

Did you know?

WebOct 24, 2024 · Contact Highmark Have questions about benefits or claims? Or need support in your language? Please call the number on the back of your member ID card 8:00 AM - … WebProvider services For provider questions and claims issues: Phone: 1-866-231-0847. Fax: 1-800-964-3627. TTY: 711. Receive email from Highmark BCBSWNY. ... LLC is an independent company providing management services on behalf of Highmark Blue Cross Blue Shield of Western New York. Amerigroup Partnership Plan, LLC brinda servicios administrativos ...

WebHighmark Blue Cross Blue Shield West Virginia P.O. Box 1353 Charleston, WV 25325 Email: [email protected] Phone: (304) 347-7681 Please be sure to include your own contact information in case Highmark West Virginia or the PAC … http://highmarkbcbs.com/

WebOct 24, 2024 · Contact Us Talk to a licensed Medicare advisor To enroll in a Highmark plan or learn more call 1-844-614-0343 (TTY users call 711) 10/1 - 3/31: Sunday - Saturday 8 a.m. - 8 p.m. EST WebCall 1-866-488-7469 TTY: 711 (Monday - Sunday 8:00am to 8:00pm EST) to talk to a representative who can answer questions about our plans. Mailing Address Highmark …

WebTelemedicine: Services provided by Highmark-approved telemedicine vendors – American Well (Amwell)™, Doctor On Demand™, and Teladoc™. Highmark has also partnered with Bright Heart Health to provide our members with comprehensive addiction treatment services for opioid use disorder via telehealth.

WebCall 1-866-488-7469 TTY: 711 (Monday - Sunday 8:00 a.m. to 8:00 p.m. EST) to talk to a representative who can answer questions about our plans. Back to Top Mailing Address Highmark Blue Shield P.O. Box 890173 Camp Hill, PA 17089-0173 Please include your group and ID number when you write. Back to Top Service Centers camping world new braunfels tx 78130WebProviders in need of assistance should contact provider services at 800-241-5704 (toll-free). Reporting Fraud. Do not use this mailing address or form to report fraud. If you suspect fraud, contact Highmark's Financial Investigations and Provider Review (FIPR) Department. Highmark Blue Shield serves the 21 counties of central Pennsylvania and … Highmark Health Insurance Company is a PDP plan with a Medicare contract. … For Medicare and Individual, if your account has been locked/suspended, please call … fischer stor-pak binsWebJan 1, 2024 · For questions or issues verifying eligibility on NaviNet or HEALTHeNET, you can still call Provider Service at 1-800-950-0051 Please note: FEP Provider Service can be reached at 1-800-234-6008 PAYMENTS If I am currently enrolled in EFT through PaySpan, will my payments still come electronically for patients on Highmark’s systems? fischer store riedWebJan 1, 2024 · 1 To ensure that Highmark can properly identify claims involving members who receive non-emergency out-of-network services in connection with an in-network facility visit, professional providers must include the facility NPI and Service Facility Name in the Service Facility Loop (Box 32) on all submitted claims. See image below: To locate the … fischer strickpullover herrenWebHighmark, out-of-network providers are required to accurately report services performed and fees charged. All providers who submit claims to Highmark must obtain an individual … camping world newport newsWebwww.highmarkbcbsde.com fischer stralem advisorsWebHighmark's mission is to be the leading health and wellness company in the communities we serve. Our vision is to ensure that all members of the community have access to … camping world new locations