Highmark Health Options Medical Policy

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CLINICAL MEDICAL POLICY - Highmark H…

(6 days ago) WEBClaims, Payment, Reimbursement, and Medical Policies. Highmark Health Options covers medical services based on credible sources like scientific literature, guidelines from recognized healthcare organizations, consensus statements, and expert opinions from …

https://www.highmarkhealthoptions.com/content/dam/digital-marketing/en/highmark/highmarkhealthoptions/providers/medical-payment-policies/ColorectalCancerScreening.pdf

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Reimbursement Policy - Highmark Health Options

(Just Now) WEBPOLICY POSITION EPSDT is a child health initiative for Medical Assistance members with five different focus areas: • Early: Assessing and identifying problems early. Policy ID: …

https://www.highmarkhealthoptions.com/content/dam/digital-marketing/en/highmark/highmarkhealthoptions/providers/medical-payment-policies/EPSDT%20Reimbursement01032023.pdf

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Medical Policy - Highmark Health Options

(8 days ago) WEBHighmark Health Options may provide coverage under medical surgical benefits of the Company’s Medicaid products for medically necessary private duty nursing. This policy …

https://www.highmarkhealthoptions.com/content/dam/digital-marketing/en/highmark/highmarkhealthoptions/providers/medical-payment-policies/medical-policies/hho-de-mp-1128-privatedutynursing-012222.pdf

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Highmark Health Options

(8 days ago) WEBHighmark Health Options Community Support can connect you with local programs, resources, and support to help you navigate your health care choices. Find help based …

https://www.highmarkhealthoptions.com/

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Medical Policy - Highmark Health Options

(8 days ago) WEBHighmark Health Options may provide coverage under the medical-surgical benefits of the Company’s Medicaid products for medically necessary capsule endoscopy procedures. This policy is designed to address medical necessity guidelines that …

https://www.highmarkhealthoptions.com/content/dam/digital-marketing/en/highmark/highmarkhealthoptions/providers/medical-payment-policies/medical-policies/hho-de-mp-1005-capsuleendoscopy-02222023.pdf

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Medical Policy - Highmark Health Options

(6 days ago) WEBMedical Policy Highmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, 4 an association of independent Blue Cross Blue Shield Plans. 69676 Tympanic neurectomy; unilateral. 97033 Application of a modality to one or more areas; Iontophoresis, each 15 minutes.

https://www.highmarkhealthoptions.com/content/dam/digital-marketing/en/highmark/highmarkhealthoptions/providers/medical-payment-policies/medical-policies/hho-de-mp-1137-treatmentofhyperhidrosis_02222023.pdf

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Claims and Medical Policies - Highmark Health Options

(9 days ago) WEBMedical Policies. Highmark Health Options medical policies explain the medical services we may or may not cover. They are based on objective, credible sources, such …

https://tenv3.highmarkhealthoptions.com/providers/medical-payment-policies.html

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Provider Manual and Resources - Highmark Health Options

(6 days ago) WEBStandard Rates for medical specialty drugs and injections are reimbursed at the Average Sale Price (“ASP”) minus 6%. For more information, call Provider Services at 1-844-325-6251, Monday–Friday, 8 a.m.–5 p.m. Provider resources for Highmark Health Options include: external resources, provider manual, provider contracts and procedure codes.

https://www.highmarkhealthoptions.com/providers/provider-resources

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Medical & Reimbursement Policies

(3 days ago) WEBBrowse Active Medical & Reimbursement Policies by Category. Ancillary Anesthesia Cancer Diagnostic Imaging Diagnostic Screening Diagnostic Services Durable Medical …

https://securecms.highmark.com/content/medpolicy/en/highmark-wholecare/de/medicaid/external/search.html

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Medical Policy FAQs - providers.highmark.com

(1 days ago) WEBMedical Policy is the department responsible for the development and maintenance of all medical policies for our medical-surgical contracts. Medical Policy …

https://providers.highmark.com/policies-and-programs/policies/medical-policy-faqs

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Medical Policy - Provider Resource Center

(1 days ago) WEBHighmark retains the right to review and update its medical policy guidelines at its sole discretion. These guidelines are the proprietary information of …

https://hbs.highmarkprc.com/Claims-Payment-Reimbursement/Medical-Policy

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myHHO Highmark Health Options

(2 days ago) WEBWith myHHO, there’s so much more you can do online! Look up your claims, see your member ID card, review your rewards, and more. Access is free, easy, and secure – and available 24/7. Start by setting up your account today. Did you have an account on the old Highmark Health Options member website?

https://members.highmarkhealthoptions.com/

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Medical Policies - providers.highmark.com

(1 days ago) WEBThe following entities serve central and southeastern Pennsylvania and are independent licensees of the Blue Cross Blue Shield Association: Highmark Inc. d/b/a Highmark …

https://providers.highmark.com/policies-and-programs/policies

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Affordable ACA Health Insurance Plans for Individuals and

(Just Now) WEBExplore affordable health coverage in your area. Learn about ACA plans. * Based on 2024 ACA on-exchange membership that enrolled during the 2023 Open Enrollment Period. …

https://www.highmark.com/plans/individual-families

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Health Insurance Plans for All Needs Highmark

(Just Now) WEBWe provide a variety of other health coverage products like dental, vision, and travel insurance in addition to great services like The Caring Program and fertility treatment. …

https://www.highmark.com/plans

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Highmark Blue Shield: Medical Policy Selection

(2 days ago) WEBHighmark's medical policy guidelines address both clinical and claim payment reimbursement issues. These guidelines address hundreds of medical issues, including …

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

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Health Options Provider Manual - Provider Resource Center

(4 days ago) WEBHealth Options is a Highmark Blue Cross Blue Shield Delaware owned and administered managed care organization contracted with the State of Delaware's …

https://hdebcbs.highmarkprc.com/Education-Manuals/The-Health-Options-Provider-Manual

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Medical Policy - Highmark Health Options

(5 days ago) WEBMedical Policy Highmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, 1 an association of independent Blue Cross Blue Shield Plans. …

https://tenv3.highmarkhealthoptions.com/content/dam/digital-marketing/en/highmark/highmarkhealthoptions/providers/medical-payment-policies/medical-policies/hho-de-mp-1135-speechtherapy-012222.pdf

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Highmark Health Options

(7 days ago) WEBFor free language interpretation services, call 1-833-957-0020. If you’re having a medical emergency, call 911. If you're having a mental health crisis, call 988. West Virginia …

https://wv.highmarkhealthoptions.com/

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Medical Policy - Highmark

(8 days ago) WEBMedical policies do not constitute medical advice, nor are they intended to govern the practice of medicine. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace website at HealthCare.gov. Highmark Health Insurance Company or Highmark Senior Solutions Company.

https://www.highmark.com/delaware/medical-policy

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Dr. Diana Palanker, Family Medicine North Bergen, NJ WebMD

(2 days ago) WEBWe value your input and encourage you to reach out to if you encounter any issues. Dr. Diana Palanker, is a Family Medicine specialist practicing in North Bergen, NJ with …

https://doctor.webmd.com/doctor/diana-palanker-e4bdf2be-9721-478e-895d-36092aaab24b-overview

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Dr. Shalini Sethi, MD, Family Medicine North Bergen, NJ WebMD

(1 days ago) WEBDr. Shalini Sethi, MD, is a Family Medicine specialist practicing in North Bergen, NJ with 15 years of experience. This provider currently accepts 85 insurance plans including …

https://doctor.webmd.com/doctor/shalini-sethi-ff62c589-5689-40fd-ba08-13eb1b09064d-overview

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Riverside Medical Group in North Bergen, NJ - WebMD

(5 days ago) WEBRiverside Medical Group. 7505 Bergenline Ave North Bergen, NJ 07047 1 other locations. (201) 868-5391. OVERVIEW. PHYSICIANS AT THIS PRACTICE.

https://doctor.webmd.com/practice/riverside-medical-group-3283d4c7-4703-e211-a42b-001f29e3eb44/physicians

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Medical Policy Selection - Highmark

(4 days ago) WEBHighmark’s medical policy guidelines address both clinical and claim payment reimbursement issues. These guidelines address hundreds of medical issues, including …

https://www.highmark.com/delaware/medical-policy/medical-policy-selection/

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