Behavioral Health Forms

This page contains Behavioral Health forms for providers to use when communicating with Highmark.

Behavioral Health Fax Number for Authorization Requests: 1-877-650-6112

For precertification or continued stay review requests for Behavioral Health treatment, please submit relevant clinical information via fax to 1-877-650-6112.

Submission of the complete medical record may slow down the process and is not an efficient way to communicate the clinical need for an admission or continued stay review.

Please fax the relevant clinical information to support the treatment request using your own fax format as needed.

Last updated on 12/29/2023 12:02:06 PM


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