A newsletter for the Highmark Blue Cross Blue Shield providers in western Pennsylvania
Issue 6, June 2023
Do you treat patients enrolled in the Highmark Healthy Kids program (formerly known as CHIP*)?
If so, you must have an active Provider Reimbursement and Operations Management Information System Identification (PROMISe™ ID) on file with the Pennsylvania Department of Human Services and Highmark. The information on file must include your provider type and each service location where you see Highmark Healthy Kids enrollees.
Highmark is required to deny claims if we are unable to match your National Provider Identifier (NPI) reported on the claim to a PROMISe enrollment record for the service location where the services were performed.
In addition, you are required to select a PROMISe ID-enrolled provider when submitting any authorization requests for referrals in NaviNet® 
.
How to Check on the Status of Your PROMISe ID
Providers can check their PROMISe ID status by visiting the PROMISe Internet Portal, emailing promise@pa.gov, or calling the Provider Enrollment Hotline at 800-537-8862, and select option 2, option 4, and finally option 2 to speak to a representative.
*CHIP is an acronym for Children’s Health Insurance Program.
