New and Updated Reimbursement Policies

Highmark regularly issues new or updated reimbursement policies. Keep an eye on the Provider Resource Center homepage for eBulletins announcing upcoming policy changes and the Reimbursement Policy page for updates.

Below is a list of upcoming and recently updated Reimbursement Policies (RP) and Medicare Advantage Reimbursement Policies (MRP):


New RPs


Coding Changes

Administrative Updates

An Administrative Update is considered a minor change regarding the policy cross-reference section, reference section, header, or wording (e.g., correction of grammar).

To access Highmark reimbursement policy bulletins, select CLAIMS, PAYMENT & REIMBURSEMENT from the Provider Resource Center left-hand menu, and then click on Reimbursement Policy.