Staying Up to Date With the Highmark Provider Manual
Ensure you are regularly reviewing the Highmark Provider Manual for our most recent guidance on:
- Participation Rules
- Credentialing/Recredentialing Criteria and Procedures
- Medical Record Criteria
- Requirements for 24/7 Coverage
Some recent noteworthy changes include:
- New York Provider Service phone numbers were consolidated to one phone number (800-950-0051) throughout the manual.
- InterQual information was removed, and MCG Clinical Guidelines were added throughout the manual.
Provider News, Issue 2, February 2023 | © 2023 Highmark Blue Cross Blue Shield