Highmark is continuing to see a significant volume of claims submitted with missing or incorrect rendering provider information. We want to remind you that all claims must contain the correct rendering/servicing provider information, including:
To read the entire Special Bulletin, go here.
With the expiration of the Public Health Emergency (PHE), Highmark has started the process of updating COVID-19-impacted policies and procedures. Many changes will take effect July 6, 2023. Click here for more details.
Do you have patients affected by the Medicaid Redetermination process? Highmark has resources available for patients/members who are no longer eligible for Medicaid and who are looking for affordable health care options. Click here to learn more.
The email MMandPMedicalReview@highmark.com — used as an initiative for communication during the COVID-19 pandemic — is being decommissioned on Wednesday, July 26, 2023. Providers should send predetermination requests via postal mail to the following address:
Highmark, Inc.
Medical Review Department
PO Box 890041
Camp Hill, PA 17089-0041
The June newsletter is available here .