Staying Up to Date with the Highmark Provider Manual

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

Some recent noteworthy changes occurred in the following chapters and units:

Chapter 1, Unit 2: Online Resources & Contact Information
Chapter 3, Unit 2: Professional Provider Credentialing
Chapter 3, Unit 3: Professional Provider Guidelines
Chapter 5, Unit 1: Care Management Overview
Chapter 5, Unit 2: Authorizations
Chapter 5, Unit 5: Denials, Adverse Benefit Determinations, Grievances, and Appeals
Chapter 5, Unit 6: Quality Management
Chapter 6, Unit 1: General Claim Submission Guidelines

To see the full list of recent changes, visit the Highmark Provider Manual Changes page.