Diversity Business Classification Survey – Deadline This Friday

Highmark’s Provider Supplier Diversity Initiative is conducting a survey to gather demographic data on providers in our network to ensure that our overall network reflects the diversity of the members and patients we serve. Interested in participating? Hurry, survey closes this Friday, August 4. Click here to get started.

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“Stabilize and Transfer” OON Protocol Will Not Be Reinstated

The “Stabilize and Transfer” out-of-network (OON) protocol was not reinstated for all narrow network products on July 6, 2023, as had been previously announced. In accordance with the No Surprises Act (NSA), Highmark will continue to pay out-of-network providers directly when they render emergency services to members who are receiving care in a hospital or freestanding emergency department. For more information on the NSA, visit the Provider Resource Center and select No Surprises Act from the left menu.

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New Capabilities Added to Provider Data Maintenance Tool

Highmark continues to make enhancements to its new Provider Data Maintenance (PDM) tool. Professional providers are now able to use PDM to view the following credentialing process information:

• Insights into where credentialing applications are in the process
• Open and closed cases

Click here to read the Special Bulletin.

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Medical Policy Update Newsletter

The July newsletter is available here .

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Telehealth Section Updated

The Telemedicine and Virtual Visits section on the Provider Resource Center includes two recent changes:

• A new Q and A on coding for Annual Wellness Visits under the Coding/Billing/Reimbursement section

• An updated answer regarding the use of communications technologies, such as Skype and FaceTime, under the Access section.