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2024 Adult Preventive Health Guidelines: Ages 19 through 64 …

WEBA physical should be performed every one to two years for adults ages 19-49, and every year for adults ages 50 and older. Female PE: -Discuss preconception guidelines as …

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URL: https://content.highmarkprc.com/Files/Region/hdebcbs/EducationManuals/PreventiveHealthGuidelines/de-guidelines-19to64.pdf

2021 Adult Preventive Health Guidelines: Ages 19 through 64 …

WEBA physical should be performed every one to two years for adults ages 19-49, and every year for adults ages 50 and older. Female PE: -Discuss preconception guidelines as …

Category: Health Go Health

2021 Adult Preventive Health Guidelines: Ages 19 through 64 …

WEBA physical should be performed every one to two years for adults ages 19-49, and every year for adults ages 50 and older. Female PE: -Discuss preconception guidelines as …

Category: Health Go Health

2021 Pediatric and Adolescent Preventive Health Guidelines: …

WEB7 to 18 years annually These guidelines apply to healthy children. Children with medical conditions may require additional follow-up. All well child visits. All well child visits. All …

Category: Medical Go Health

WholeHealth Living Clinical Criteria To Determine Medical …

WEBThe purpose of this document is to provide the basic framework for clinical reviewers to use to identify the clinical appropriateness and medical necessity of physical medicine …

Category: Medical, Medicine Go Health

Social Determinants of Health (SDoH) Toolkit

WEBSocial Determinants of Health (SDoH) are economic and social conditions that influence the health of people and communities. These conditions are shaped by the amount of …

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Well360 Virtual Health

WEBWell360 Virtual Health. A virtual health solution for on-demand access to urgent care and behavioral and mental health. • Urgent Care: • 24/7 on-demand urgent care • Suitable …

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Appropriate Prescribing For Obesity

WEBWhile lifestyle interventions such as diet, exercise, and behavioral modifications are first-line approaches to weight loss, The Obesity Society, the …

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Transitions in Care: Supporting Patients and Physician Partners

WEBHighmark supports our provider partners by promoting the coordination of care for our members and assisting the physician’s office in transformation that seeks to involve the …

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Follow Up After ED Visit for Mental Illness (FUM)*

WEBFUM assesses the percentage of emergency department (ED) visits for individuals 6 years of age and older with a principal diagnosis of mental illness or intentional self-harm and …

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2024 Highmark Wholecare Benefits

WEBHighmark Wholecare is pleased to announce several exciting benefit enhancements for Medicare plan members beginning January 2024. 2024 Highmark

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Important information regarding Community HealthChoices …

WEBCHC is Pennsylvania’s mandatory Medicaid managed care program for individuals eligible for both Medicaid and Medicare. Highmark Wholecare Medicare AssuredSM D-SNP …

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2023 Quality Improvement Program Executive Summary for …

WEBBACKGROUND AND HISTORY. Highmark Wholecare, coverage by Gateway Health Plan, which is an independent licensee of the Blue Cross Blue Shield Association serves as a …

Category: Health Go Health

EDI Claims Submissions

WEBFPLIC (60147) FPH (96601) Highmark (54771W) Highmark (54771W) Highmark Senior (15460) For dates of service Jan. 1, 2016, and after, professional & ancillary providers …

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BlueCard Frequently Asked Questions (FAQs)

WEBAnswers to Frequently Asked Questions. What is the B lueCard Program? BlueCard is a national program that enables members of one Blue Plan to obtain healthcare service …

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Well360 Diabetes Management FAQ Document – Powered By …

WEBHow does a patient register? Eligible patients will receive direct outreach to enroll. PCPs can suggest enrollment for a patient to Onduo Diabetes at any time by directing them to …

Category: Health Go Health

Availity Provider Portal Outpatient Authorization Guide

WEBFor a new Authorization Request: Select New Auth Request from the left side navigation panel (red box). Select the Ordering/Attending Provider from the dropdown. Search the …

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HIGHMARK AND HEALTHNOW NEW YORK ANNOUNCE …

WEBHighmark Inc. and HealthNow New York Inc. today announced an agreement to affiliate, marking a key milestone in plans to bring together the two not-for-profit Blue Cross Blue …

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Highmark Responds to Change Healthcare Cyber Event

WEBOnce the Change Healthcare cyber event has been resolved, you will need to create a separate username and password for Risk Manager to access it via Availity. Best …

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Highmark's Enhanced Community Care Management

WEBHOW TO REFER A MEMBER TO ECCM. If you have a patient who you believe could benefit from ECCM, please refer them through any of these channels: Epic: Ambulatory …

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