Highmark Health Options Requirements

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Provider Manual and Resources - Highmark Health Options

(6 days ago) Use the online Prior Authorization Code Lookup and search by codes or review the latest Highmark Health Options Prior Authorization List.Updated regularly, this document lists codes and prior authorization requirements for medical procedures and services. The contents of this list are subject to change in … See more

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

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For Providers - Highmark Health Options

(2 days ago) WebCall Provider Services at 1-844-325-6251, Monday through Friday, 8 a.m. – 5 p.m., or contact your Provider Account Liaison. We work with a top network of doctors and Medicaid providers to provide high-quality, accessible health services to our members.

https://www.highmarkhealthoptions.com/providers.html

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highmark health options provider manual

(9 days ago) WebHighmark Health Options is an independent licensee of the Blue Cross and Blue Shield Association. 2019 THE HIGHMARK HEALTH OPTIONS PROVIDER MANUAL 1 P a g …

https://www.highmarkhealthoptions.com/content/dam/digital-marketing/en/highmark/highmarkhealthoptions/providers/provider-resources/Medicaid_provider_manual.pdf

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Quick Reference Guide

(9 days ago) WebHighmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, an association of independent Blue Cross Blue Shield Plans. Quick …

https://www.highmarkhealthoptions.com/content/dam/digital-marketing/en/highmark/highmarkhealthoptions/providers/provider-resources/hho-evicore-quick-reference_082022.pdf

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Clinical Practice Guidelines - Highmark Health Options

(3 days ago) WebClinical Practice Guidelines. Clinical Practice Guidelines can be used to help direct care based on best available evidence based practices in order to reduce inappropriate …

https://www.highmarkhealthoptions.com/providers/guidelines-resources.html

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Prior Authorization Code Lookup - Highmark Health Options

(Just Now) WebReview the Prior Authorizations section of the Provider Manual. Call Provider Services at 1-844-325-6251, Monday–Friday, 8 a.m.–5 p.m. Or contact your Provider Account Liaison.

https://www.highmarkhealthoptions.com/providers/prior-auth-lookup.html

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Health Options Provider Manual - Provider Resource Center

(4 days ago) WebThe Health Options Provider Manual is designed to give you access to information such as claims filing, researching patient benefits, and joining the network. It …

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

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Welcome to the Highmark Provider Resource Center

(1 days ago) WebHighmark's Provider Resource Center is your source for all provider-related information and updates. The PRC offers resources to assist in the treatment of your Highmark patients, …

https://providers.highmark.com/

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Provider Resources Delaware Highmark Health Options

(3 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 …

https://tenv3.highmarkhealthoptions.com/providers/provider-resources.html

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The Health Options Provider Manual - Chapter 7, Unit 1

(8 days ago) WebHealth Options processes medical expenses upon receipt of a correctly completed CMS-1500 form for professional services and upon receipt of a correctly completed UB-04 for …

https://content.highmarkprc.com/Files/Region/hdebcbs/EducationManuals/HOPM/hopm-chapter7-unit1.pdf

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THE HEALTH OPTIONS PROVIDER MANUAL - Enitre Manual

(6 days ago) WebEligibility Requirements 6 . CHAPTER 4 PROVIDER PARTICIPATION AND RESPONSIBILITIES 4.1 Health Options Provider Network Participation • Introduction to …

https://content.highmarkprc.com/Files/Region/hdebcbs/EducationManuals/HOPM/hopm-entiremanual.pdf

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The Health Options Provider Manual - Chapter 4, Unit 2

(8 days ago) WebIf you are not yet registered with CAQH and do not have internet access, please call Highmark at 1-866-763-3224, Option 4 to obtain a CAQH ID. Once you receive your …

https://content.highmarkprc.com/Files/Region/hdebcbs/EducationManuals/HOPM/hopm-chapter4-unit2.pdf

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Payment Policy - Highmark Health Options

(1 days ago) WebHighmark Health Options payment policy is intended to serve only as a general reference resource regarding Requirements for an adult wellness visit for ages 21 and older include comprehensive history, comprehensive examination, counseling, anticipatory guidance, risk factor reduction interventions, and the ordering of appropriate

https://www.highmarkhealthoptions.com/content/dam/digital-marketing/en/highmark/highmarkhealthoptions/providers/medical-payment-policies/hho-de-rp-1124-wellness-visits-for-adults-women-and-children.pdf

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2020 Provider Manual - Highmark Health Options

(8 days ago) Web1.2 HIGHMARK HEALTH OPTIONS CONTACT INFORMATION Our website, highmarkhealthoptions.com, provides up-to-date information. ADDRESS OFFICE …

https://www.highmarkhealthoptions.com/content/dam/digital-marketing/en/highmark/highmarkhealthoptions/providers/provider-resources/HHO%20Provider%20Manual%20Jan2020.pdf

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myHHO Highmark Health Options

(5 days ago) Web800 Delaware Avenue, Wilmington, DE 19801. Highmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, an association of …

https://member.highmarkhealthoptions.com/web/guest/home

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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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Authorization Requirements - Provider Resource Center

(4 days ago) WebHome Health/Home Infusion Therapy/Hospice: 888-567-5703. Inpatient Clinical: 800-416-9195. Medical Injectable Drugs: 833-581-1861. Musculoskeletal (eviCore): 800-540 …

https://hbs.highmarkprc.com/Claims-Payment-Reimbursement/Procedure-Service-Requiring-Prior-Authorization

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Electronic Visit Verification (EVV)

(7 days ago) WebNetsmart is now implementing HHCS with Highmark Wholecare. Netsmart and Highmark Wholecare is rolling out the HHCS service codes in stages. Netsmart will be providing …

https://content.highmarkprc.com/Files/Wholecare/docs/EVV_July23.pdf

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Provider Resource Center

(5 days ago) WebHighmark Wholecare and Highmark Health Options (DE & WV) will not transition to Availity; providers should continue to use their current portals for transactions related to …

https://hbcbs.highmarkprc.com/Availity/Frequently-Asked-Questions

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Credentialing - 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 Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company. All references to “Highmark” in …

https://providers.highmark.com/provider-network/credentialing

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Highmark Member Site

(8 days ago) WebHaving a health plan means knowing what you want to achieve for your well-being. . Find the right plan that suits your needs and budget. view all plans. Login and unlock your …

https://member.highmark.com/

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