Staying Up to Date With the Highmark Provider Manual
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
Recent noteworthy changes occurred in the following sections:
- Chapter 1, Unit 4: Highmark Member Information > 1.4 Confidentiality of Member Information > ROBOCALLS
- Chapter 6, Unit 1: General Claim Submission Guidelines > 6.1 Top Billing Errors – And How to Avoid Them
For detailed descriptions of these recent changes, visit the Highmark Provider Manual Changes page.
Provider News, Issue 9, September 2023 | © 2023 Highmark Blue Shield