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Manuals
Highmark Provider Manual
Medical Policy Search
Medical Policy Search
Medical Policies
Medicare Advantage Medical Policies
Pharmacy Policy Search
Requiring Authorization
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Information Exclusively for Providers in Northeastern Pennsylvania
Transition/Merger Resources
Introduction to Highmark Communication Vehicles
Provider Transition Guide
Topics (A-Z)
AIS Home Visit Program
Alpha Prefix Reference Guide
Appeals Updates
Community Blue Medicare HMO
Complaint and Grievance Appeals
Covering Physicians Policy Change
Credentialing Application Status
Credentialing Changes for Providers
Delegation of Authorizations for Certain Drugs to Walgreens
EDI Acceptance/Rejection Transactions
EDI Claims Submissions
Electronic Claims Submissions
EDI/ERA Changes
FEP & BlueCard Facility Claims
Governing Policy and Procedures
Highmark to Manage Behavioral Health Authorizations
HMO Billing Procedures
Medical Injectable Drug Program Information
Medical Management Fax Numbers
Medical Policy Changes
Medications Coverage Change
Medications Moving to Medical Benefit
National Drug Codes New Policy
New Address for Paper Claims Submission
OB Billing Guidelines
Paperwork (PWK) Supplemental Claim Information
Patient Experience Reviews
PCP Capitation Roster
Physical Medicine Services Providers
Preventive Health Guidelines
Prior Approval Requirements
Provider Appeals Process (Update)
Provider Service Phone Numbers
RAs, EOBs and EOPs
Radiology Management Services
Radiology Therapy Authorization Program
Self-Administered Injectable and Oral Biotechnology Drugs
Timely Filing Appeals
Transitioned Products Listing
Understand Patients Coverage
Utilize HBS NaviNet
Vaccine Coverage Change
Last updated on 10/2/2017
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