New centralized Provider Resource Center for all Highmark regions launching October 1.
Learn more about the new site in our latest Provider News or take a sneak peek at providers.highmark.com.

Quick Links:

Highmark Provider Manual Appendix

  1. NPI Registry
    Search Providers' NPPES Information

  2. Medicare Advantage Member Evidence of Coverage Booklets
    Explains How Medicare Advantage Members Get Their Health Care and Drug Coverage

  3. Medicare Advantage Compliance Language

  4. Article VIII of the Bylaws of Highmark Inc

  5. Review Committee Guidelines

  6. Highmark Inc. Third Party Code of Business Conduct
    Expectations of providers and their staffs when conducting business with and/or on behalf of Highmark

Return to the Highmark Provider Manual

Last updated on 7/20/2022 2:05:54 PM

 

To Top

Contact Us

Provider Directory

Site Map

Legal Information

The following entities, which serve the noted regions, are independent licensees of the Blue Cross Blue Shield Association: Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc., Highmark Benefits Group Inc., First Priority Health, First Priority Life or Highmark Senior Health Company. Central and Southeastern PA: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company. Delaware: Highmark BCBSD Inc. d/b/a Highmark Blue Cross Blue Shield. West Virginia: Highmark West Virginia Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Health Insurance Company or Highmark Senior Solutions Company. Western NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield. Northeastern NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Shield.

All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration and/or to one or more of its affiliated Blue companies.