The sign in front of your office helps members find their way to you. Your contact information in the online Highmark Provider Directory does the same. If your provider data is incorrect, potential patients may not realize your practice is part of a Highmark network.
All providers are required to supply Highmark with their practice name, clinical team, locations, and contact information for our provider directory. It is essential that Highmark has your up-to-date information in order to help our members make informed decisions on where to seek care.
Why take a chance that prospective patients might not be able to find your practice in the Highmark Provider Directory?
The Centers for Medicare & Medicaid Services (CMS) requires Highmark to reach out to you every quarter and ask you to validate your provider information. We use this information to populate our provider directory and to help ensure correct claims processing.
Your thorough review of your directory information confirms:
It’s vital that you review and update your information as soon as a change occurs. Go to Provider File Management within NaviNet® to check these fields:
Remember to review data at least once a quarter to ensure it’s accurate.