Hwnybcbs.highmarkprc.com

Provider Resource Center

NEWPROCESS FOR ENROLLMENT Providers can enroll in our health plan by completing the Initial Credentialing Request Formand registering with the Council … See more

Actived: 7 days ago

URL: https://hwnybcbs.highmarkprc.com/Credentialing/Credentialing/Credentialing-NY

Preventive Health Guidelines

WEB2024 Preventive Health Guidelines. Prenatal/Perinatal Guidelines. Children Ages 0-6 Guidelines. Children Ages 7-18 Guidelines. Adult Ages 19-64 Guidelines. Adult 65 and …

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Provider Resource Center

WEBChange of Ownership (CHOW) Form – This form is for Facility and Ancillary Providers to report any changes in ownership, which may include the Legal Name, Doing Business …

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Highmark Will Be Moving to a New Provider Portal

WEBThe transition to Availity will happen in stages: August and September 2023: Highmark will engage a pilot group of providers to ensure a seamless transition. October 22, 2023: …

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New Video Series on Value-Based Care

WEBHighmark has launched a new Population Health University video series called Value-Based Care (VBC) 101, which provides an overview of our VBC methodology, …

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Provider Resource Center

WEBPhysicians, Certified Registered Nurse Practitioners, Clinical Nurse Specialists, Certified Midwives, Podiatrists, Dental Specialists and General Dentists …

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Highmark Provider Manual

WEBHighmark Provider Manual. We have redesigned the Highmark Provider Manual to make it easier for you to view and find important information, policies, and procedures for all …

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New Billing Guidance for Behavioral Health Providers

WEBTo avoid claim denials and help you get paid correctly, behavioral health providers must now include the correct taxonomy and performing provider information (when applicable) …

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New Clinical Support Programs for 2024

WEBIn support of our Living Health strategy, we’re providing a preview of our new and expanded clinical support programs for eligible Highmark members in 2024. These programs are …

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New Clinical Vendor for the House Call Program: Signify Health

WEBYour patient’s health profile will be documented in a valid medical record, and you will receive a copy of the report and lab results (if applicable). In addition, a copy of the …

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Medical Record Retrievals

WEBMedical records may be submitted to Inovalon in the following ways: Fax: 877-221-0604. FedEx: For further instruction on returning records via FedEx, please call 800-463-3339. …

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Provider Resource Center

WEBBehavioral Health: 833-581-1866. Gastric Surgery: 833-619-5745. Durable Medical Equipment/Medical Injectable Drugs/Outpatient Procedures: 833-619-5745. Inpatient …

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Provider Resource Center

WEBMedical Policy Update is a monthly newsletter for the health care providers who participate in our networks and submit claims to Highmark Blue Cross Blue Shield of Western New …

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Expanded Credentialing Section: More Electronic Options

WEBThe expanded Credentialing section will enable medical providers to complete multiple credentialing forms and processes electronically from one web location, while …

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Chronic Conditions: Use Code 99499 for Additional Diagnosis Codes

WEBPlease use CPT code 99499 instead of 99080 to accurately capture a patient’s active chronic condition (s). It is important that you document all active chronic conditions and …

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