We recently unveiled a fresh new look for our online Provider Resource Center (PRC) — your one-stop source for provider manuals, medical policy, and all the information you need to do business with Highmark.

Whether you’re visiting the PRC through NaviNet® or via Helpful Links on our website, you’ll notice the PRC’s exciting new design. You’ll also see several navigational enhancements that will make your PRC user experience more efficient and productive.

And we’ve created the new PRC with mobility in mind: the site view adjusts for use on smartphones and tablets, enabling you to access its tools and information on the go.

Less clutter

We’ve significantly condensed the number of links that were listed down the left side of the PRC home page. So that you no longer need to scroll down a lengthy list to find the link you need, we’ve created nine general information categories, each listed in blue bars at left.

Named as follows, each of the nine categories expands to reveal related sub-categories when you click the “+” symbol beside each one:

  • Care Management Programs (including the Physical Medicine Management and Radiology Management programs)
  • Claims, Payment & Reimbursement (including medical and reimbursement policies)
  • Credentialing
  • Education/Manuals (including the Highmark Blue Shield Office Manual and Highmark Facility Manual)
  • Forms
  • Inter-Plan Programs (including the BlueCard® Information Center)
  • Newsletters/Notices (including Provider News and e-Subscribe)
  • Pharmacy Program/Formularies
  • Value-Based Programs

Easier to access Quicklinks

At the top of the home page, we’ve made several of the most popular Quicklinks available in gray buttons oriented horizontally across the page. These include Manuals, Medical Policy Search, and Pharmacy Policy Search.

Since these Quicklinks are among the most popular clicks on the PRC, we wanted to make them even easier for you to access on the new site.

Helpful new features

Message Center
Under the Quicklinks bar, provider alerts from our new Message Center will display in a blue banner with an orange bell icon — noting important Highmark news and other key information. A link to the Message Center also is available above the Highmark logo at the top right. Just look for the orange bell icon. These provider alerts will appear only periodically to notify you of important information, so please click on them when they are visible.

Hot Topics
Listed down the right side of the home page is a new Hot Topics section. Replacing the Today’s Messages page, the Hot Topics section links you to Special Bulletins and other announcements regarding recent or upcoming fee changes, formulary updates, and other changes you should know about. Archived messages will be filed in the Hot Topics Library once they are removed from the Hot Topics section.

New search functions
You can still search the entire PRC by using the search window at the top of the home page. But now you can conduct an advanced search by clicking the question mark at the far right of the search window, helping you find what you need more quickly.
The medical and pharmacy policy searches are still available from those individual pages. But the new site also lets you search within our provider manuals and in our Special Bulletins & Mailings archive. Simply visit the Highmark Blue Shield Office Manual, Highmark Facility Manual, and Special Bulletins & Mailings pages and use the search window provided on each page.

PRC tutorial
Within the Message Center, we’ve added a helpful online tutorial to lead you through navigating the new site and its many great tools and features. Watch the tutorial today and encourage your colleagues to do the same, so you’ll all be up to speed on the great features of our newly redesigned PRC!

 

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