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.