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Manuals
Highmark Provider Manual
Medical Policy Search
Medical Policy Search
Medical Policies
Medicare Advantage Medical Policies
Pharmacy Policy Search
Requiring Authorization
eSUBSCRIBE
Organizational Credentialing Forms
Recredentialing Application for Facility and Ancillary Providers
If you have recently received a letter stating that you must recredential, please use this form to enter the requested information.
Change of Ownership (CHOW) Form
Please use this form to report any changes in ownership which may include the Legal Name, Doing Business As name, NPI or Tax ID information.
Highmark Facility/Ancillary Change Form
Please use this form when needing to update address, phone numbers and contact information to existing locations for UB Facility Billers, Urgent Care Centers/Medical Aid Unit/Retail Clinics, or for Organizational Behavioral Health Billers.
Last updated on 4/4/2022 10:59:06 AM
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