[{"id":4513,"versionId":15860,"chapterNumber":1,"title":"General Information","visible":true,"topics":[{"id":6519,"chapterId":4513,"unitNumber":1,"timestamp":"4/17/2018","title":"Introduction","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter1-unit1.pdf","visible":true,"liveStatus":2},{"id":6520,"chapterId":4513,"unitNumber":2,"timestamp":"12/6/2018","title":"Online Resources \u0026 Contact Information","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter1-unit2.pdf","visible":true,"liveStatus":2},{"id":6521,"chapterId":4513,"unitNumber":3,"timestamp":"4/17/2018","title":"Electronic Solutions – EDI \u0026 NaviNet","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter1-unit3.pdf","visible":false,"liveStatus":2},{"id":6522,"chapterId":4513,"unitNumber":4,"timestamp":"2/5/2020","title":"Highmark Member Information","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter1-unit4.pdf","visible":false,"liveStatus":2},{"id":6523,"chapterId":4513,"unitNumber":5,"timestamp":"12/11/2018","title":"Member Rights \u0026 Responsibilities","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter1-unit5.pdf","visible":false,"liveStatus":2}],"liveStatus":2},{"id":4514,"versionId":15860,"chapterNumber":2,"title":"Product Information","visible":true,"topics":[{"id":6524,"chapterId":4514,"unitNumber":1,"timestamp":"4/17/2018","title":"Product Overview","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter2-unit1.pdf","visible":true,"liveStatus":2},{"id":6525,"chapterId":4514,"unitNumber":2,"timestamp":"4/13/2021","title":"Medicare Advantage Products \u0026 Programs","description":"\u003ch6\u003e(The information in this unit\u0026nbsp;is applicable to\u0026nbsp;PA/WV providers only).\u003c/h6\u003e","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter2-unit2.pdf","visible":true,"liveStatus":2},{"id":6526,"chapterId":4514,"unitNumber":3,"timestamp":"7/30/2020","title":"Other Government Programs","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter2-unit3.pdf","visible":true,"liveStatus":2},{"id":6527,"chapterId":4514,"unitNumber":4,"timestamp":"12/17/2018","title":"Benefit Plan Programs","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter2-unit4.pdf","visible":true,"liveStatus":2},{"id":6528,"chapterId":4514,"unitNumber":5,"timestamp":"7/20/2020","title":"Telemedicine Services","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter2-unit5.pdf","visible":true,"liveStatus":2},{"id":6529,"chapterId":4514,"unitNumber":6,"timestamp":"10/1/2020","title":"The BlueCard Program","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter2-unit6.pdf","visible":true,"liveStatus":2}],"liveStatus":2},{"id":4515,"versionId":15860,"chapterNumber":3,"title":"Provider Network Participation","visible":true,"topics":[{"id":6530,"chapterId":4515,"unitNumber":1,"timestamp":"3/12/2019","title":"Network Participation Overview","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter3-unit1.pdf","visible":true,"liveStatus":2},{"id":6531,"chapterId":4515,"unitNumber":2,"timestamp":"5/14/2020","title":"Professional Provider Credentialing","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter3-unit2.pdf","visible":true,"liveStatus":2},{"id":6532,"chapterId":4515,"unitNumber":3,"timestamp":"5/25/2018","title":"Professional Provider Guidelines","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter3-unit3.pdf","visible":true,"liveStatus":2},{"id":6533,"chapterId":4515,"unitNumber":4,"timestamp":"11/5/2019","title":"Organizational Provider Participation (Facility /Ancillary)","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter3-unit4.pdf","visible":true,"liveStatus":2},{"id":6534,"chapterId":4515,"unitNumber":5,"timestamp":"4/18/2018","title":"Ohio Healthcare Simplification Act","description":"\u003ch6\u003e\u003cspan\u003e(The information in this\u0026nbsp;\u003c/span\u003e\u003cspan\u003eunit\u0026nbsp;\u003c/span\u003e\u003cspan\u003eis\u0026nbsp;\u003c/span\u003e\u003cspan\u003eapplicable to\u0026nbsp;\u003c/span\u003e\u003cspan\u003ePA/WV providers only).\u003c/span\u003e\u003c/h6\u003e","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter3-unit5.pdf","visible":true,"liveStatus":2}],"liveStatus":2},{"id":4516,"versionId":15860,"chapterNumber":4,"title":"Provider Responsibilities \u0026 Guidelines","visible":true,"topics":[{"id":6535,"chapterId":4516,"unitNumber":1,"timestamp":"7/7/2020","title":"PCPs \u0026 Specialists","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter4-unit1.pdf","visible":true,"liveStatus":2},{"id":6536,"chapterId":4516,"unitNumber":2,"timestamp":"2/28/2020","title":"Behavioral Health Providers","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter4-unit2.pdf","visible":true,"liveStatus":2},{"id":6537,"chapterId":4516,"unitNumber":3,"timestamp":"10/1/2020","title":"Facility-Specific Guidelines","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter4-unit3.pdf","visible":true,"liveStatus":2},{"id":6538,"chapterId":4516,"unitNumber":4,"timestamp":"10/26/2018","title":"Ancillary Services","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter4-unit4.pdf","visible":true,"liveStatus":2},{"id":6539,"chapterId":4516,"unitNumber":5,"timestamp":"9/30/2019","title":"Outpatient Radiology \u0026 Laboratory","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter4-unit5.pdf","visible":true,"liveStatus":2},{"id":6540,"chapterId":4516,"unitNumber":6,"timestamp":"2/28/2020","title":"Prescription Drug Programs","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter4-unit6.pdf","visible":false,"liveStatus":2},{"id":6541,"chapterId":4516,"unitNumber":7,"timestamp":"7/30/2020","title":"Medical Records Documentation Requirements","description":"","filename":"https://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter4-unit7.pdf","visible":false,"liveStatus":2}],"liveStatus":2},{"id":4517,"versionId":15860,"chapterNumber":5,"title":"Care \u0026 Quality Management","visible":true,"topics":[{"id":6542,"chapterId":4517,"unitNumber":1,"timestamp":"7/7/2020","title":"Care Management Overview","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter5-unit1.pdf","visible":true,"liveStatus":2},{"id":6543,"chapterId":4517,"unitNumber":2,"timestamp":"10/1/2020","title":"Authorizations","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter5-unit2.pdf","visible":true,"liveStatus":2},{"id":6544,"chapterId":4517,"unitNumber":3,"timestamp":"7/30/2020","title":"Medicare Advantage Procedures","description":"\u003ch6\u003e\u003cspan\u003e(The information in this\u0026nbsp;\u003c/span\u003e\u003cspan\u003eunit\u0026nbsp;\u003c/span\u003e\u003cspan\u003eis\u0026nbsp;\u003c/span\u003e\u003cspan\u003eapplicable to\u0026nbsp;\u003c/span\u003e\u003cspan\u003ePA/WV providers only).\u003c/span\u003e\u003c/h6\u003e","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter5-unit3.pdf","visible":true,"liveStatus":2},{"id":6545,"chapterId":4517,"unitNumber":4,"timestamp":"4/1/2019","title":"Behavioral Health","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter5-unit4.pdf","visible":false,"liveStatus":2},{"id":6546,"chapterId":4517,"unitNumber":5,"timestamp":"5/14/2020","title":"Denials, Grievances \u0026 Appeals","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter5-unit5.pdf","visible":false,"liveStatus":2},{"id":6547,"chapterId":4517,"unitNumber":6,"timestamp":"7/7/2020","title":"Quality Management","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter5-unit6.pdf","visible":false,"liveStatus":2},{"id":6548,"chapterId":4517,"unitNumber":7,"timestamp":"3/1/2019","title":"Value-Based Reimbursement Programs","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter5-unit7.pdf","visible":false,"liveStatus":2}],"liveStatus":2},{"id":4518,"versionId":15860,"chapterNumber":6,"title":"Billing \u0026 Payment","visible":true,"topics":[{"id":6549,"chapterId":4518,"unitNumber":1,"timestamp":"4/30/2021","title":"General Claim Submission Guidelines","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter6-unit1.pdf","visible":true,"liveStatus":2},{"id":6550,"chapterId":4518,"unitNumber":2,"timestamp":"9/21/2018","title":"Electronic Claim Submission","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter6-unit2.pdf","visible":true,"liveStatus":2},{"id":6551,"chapterId":4518,"unitNumber":3,"timestamp":"2/28/2020","title":"Facility (UB-04/837I) Billing","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter6-unit3.pdf","visible":true,"liveStatus":2},{"id":6552,"chapterId":4518,"unitNumber":4,"timestamp":"10/1/2020","title":"Professional (1500/837P) Reporting Tips","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter6-unit4.pdf","visible":true,"liveStatus":2},{"id":6553,"chapterId":4518,"unitNumber":5,"timestamp":"5/25/2018","title":"1500 Claim Form Guidelines","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter6-unit5.pdf","visible":false,"liveStatus":2},{"id":6554,"chapterId":4518,"unitNumber":6,"timestamp":"8/21/2019","title":"Coordination of Benefits","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter6-unit6.pdf","visible":false,"liveStatus":2},{"id":6555,"chapterId":4518,"unitNumber":7,"timestamp":"2/28/2020","title":"Payment/EOBs/Remittances","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter6-unit7.pdf","visible":false,"liveStatus":2},{"id":6556,"chapterId":4518,"unitNumber":8,"timestamp":"12/4/2019","title":"Payment Review","description":"","filename":"http://content.highmarkprc.com/Files/EducationManuals/ProviderManual/hpm-chapter6-unit8.pdf","visible":false,"liveStatus":2}],"liveStatus":2}]