Staying Up to Date with the Highmark Provider Manual

Authorization Ensure you are regularly reviewing the Highmark Provider Manual for our most recent guidance on:

  • Participation Rules
  • Credentialing/Recredentialing Criteria and Procedures
  • Medical Record Criteria
  • Requirements for 24/7 Coverage

Some recent noteworthy additions include:

  • Types of Professional Providers Credentialed updated in Chapter 3, Unit 2
  • General Credentialing Criteria for Physician Assistants added to Chapter 3, Unit 2