Quick Links:

Plan Central Library - Archive 2021

12/16/2021
All
NaviNet System Will Be Unavailable December 17-18, 2021
12/13/2021
All
Medicare Sequester Reductions Delayed Through March 2022
12/10/2021
All
Next Phase of the New Clinical Platform Going Live on December 13, 2021
12/8/2021
All
Delay in Phone and Fax Authorization Requests
12/6/2021
Professional
Coming Soon: UDC Program December Webinar
11/19/2021
All
New Clinical Platform Phase 1 Going Live November 22, 2021
11/18/2021
All
Issue Identified: NaviNet Claim Submissions
11/18/2021
All
NaviNet System Will Be Unavailable November 19-20, 2021
11/17/2021
Professional
Highmark's December Coding Knowledge College Webinar
11/8/2021
Professional
Join the UDC Program's November and December Webinars
11/1/2021
All
Claim Status Inquiry Attachments Now Available in NaviNet
10/27/2021
Professional
Highmark's November Coding Knowledge College Webinar
10/26/2021
Professional
Upcoming UDC Program Enhancements and Webinars
10/22/2021
All
Annual Scorecards Now Available For Physical Medicine Provider Pathways Participants
10/20/2021
All
No Surprises Act - Upcoming Changes
10/18/2021
Professional
Delay in Transition to PNC Healthcare for Claims Payments and Remittances
10/13/2021
All
NaviNet System Unavailable October 15-16, 2021
9/30/2021
All
Recall for LeadCare Test Kits
9/28/2021
All
Reminder: Submitting Corrected Claims
9/22/2021
Professional
Highmark's October Coding Knowledge College Webinar
9/16/2021
All
Coming Soon: New Clinical Platform
9/10/2021
Professional
Copay Error Resolved: Rendering Primary Care PA-Cs Claims Now Correctly Processing
9/9/2021
All
NaviNet System Unavailable September 10-11, 2021
9/1/2021
All
Upcoming Reimbursement Policy Changes
8/23/2021
All
Claim Payments and Remittances to be Provided by PNC Healthcare Beginning November 2021
8/13/2021
All
NaviNet System Unavailable August 13-14, 2021
8/3/2021
All
Issue Identified: Quality Blue Provider Access View
8/2/2021
Professional
Highmark's August Coding Knowledge College Webinar
7/30/2021
All
Issue Identified: eviCore Prior Authorization Program Submissions Expiring Before Review
7/21/2021
All
Updated: Issue With Evicore Advanced Imaging and Cardiology Authorizations Submitted in NaviNet
7/20/2021
All
Issue With eviCore Advanced Imaging and Cardiology Authorizations Submitted in NaviNet
7/15/2021
All
NaviNet System Unavailable July 16-17, 2021
7/12/2021
Professional
Providers Must Respond to Highmark's Quarterly Outreach to Remain in Our Provider Directory
7/1/2021
Professional
Delivering Telehealth Services to Highmark Members After June 30, 2021
6/25/2021
Professional
Highmark's July Coding Knowledge College Webinar
6/24/2021
All
Claim Status Inquiry Attachments Coming Soon to NaviNet®
6/10/2021
All
NaviNet System Unavailable June 11-12, 2021
6/1/2021
Professional
Highmark's June Coding Knowledge College Webinar
5/28/2021
All
Non-Molecular Lab Testing to be Added to Laboratory Management Program
5/28/2021
All
Authorizations Soon Required for Out-of-Area and Out-of-Network Advanced Imaging and Cardiology Services
5/26/2021
All
Update: 2021 InterQual® Level of Care Criteria Release
5/18/2021
All
Changes to the Authorization Workflow
5/18/2021
All
Update: Continue Using 2020 Interqual® Level of Care Criteria
5/14/2021
All
2021 InterQual® Level of Care Criteria Release
5/14/2021
Professional
2020 Quarter 4 UDC Program Compensation Payments
5/13/2021
All
NaviNet System Unavailable May 14-15, 2021
4/30/2021
All
Extended Through December 2021: COVID-19 In-Network Inpatient Cost Share Waivers
4/30/2021
All
2021 Semi-Annual Scorecards Now Available
4/21/2021
All
Home Health Timeout Notification
4/15/2021
All
Extended Through December 2021: Medicare Sequestration Temporary Payment Increase
4/14/2021
All
NaviNet System Unavailable April 16-17, 2021
4/7/2021
Professional
Highmark's April Coding Knowledge College Webinar
3/31/2021
All
Provider Pathways Program Metrics Enhancements Effective June 1, 2021
3/31/2021
Professional
Provider Pathways Program Metrics Enhancements Effective June 1, 2021
3/26/2021
All
System Changes in the Clear Value Plus Program
3/24/2021
All
Highmark Targets Health Care Fraud, Waste and Abuse
3/18/2021
All
NaviNet System Unavailable March 19-20, 2021
3/15/2021
All
Resolved - Chemotherapy Service Type Unavailable
3/8/2021
All
March Coding Knowledge College Webinar: Kidney Disease and Hepatitis
3/5/2021
All
Extended: COVID-19 In-Network Inpatient and Telemedicine Cost share Waivers
3/4/2021
All
Evicore to Review and Approve/Deny Supporting Codes for Codes 63045, 63047, and 63048
3/1/2021
All
Highmark and HealthNow New York Affiliation Now Effective
3/1/2021
All
Post-Payment Recovery Vendor Update for Highmark Inpatient Claims Effective April 2021
2/18/2021
All
Webinar Invitation: 2021 Inter-Plan Medicare Advantage Care Management and Provider Engagement Program
2/18/2021
All
NaviNet System Unavailable February 19-20, 2021
2/11/2021
All
Reminder! Select Each Anticipated Modality When Submitting Registrations and Authorization Requests
2/5/2021
All
Resolved: Authorization Requests to NaviHealth Must be Submitted via Phone or Fax
2/2/2021
All
Updated: Changes to Injectable Drug and Chemotherapy Service Categories
1/29/2021
Professional
Highmark to Perform Annual HEDIS Medical Record Reviews Beginning February 2021
1/25/2021
All
Updated: “Incident To” Frequently Asked Questions
1/25/2021
All
Injectable Drug Being Replaced with Medical Drug in the Service Category for Authorizations
1/22/2021
All
NaviNet System Unavailable January 22 - January 23, 2021
1/22/2021
Facility
Updated! Highmark Home Health Utilization Management Portal
1/19/2021
All
Accolade Performing Utilization Management for Some Members
1/14/2021
All
Correct NAIC Code for Medicare Advantage Complete Blue PPO
1/8/2021
Professional
EAWV Program to Continue in 2021
1/8/2021
All
Highmark's House Call Health Assessment Program Continues in 2021
1/7/2021
All
Highmark Continues Commitment to Value-Based Care With Specialist Performance Initiative
1/5/2021
All
January is Cervical Cancer Awareness Month
1/4/2021
All
Highmark Temporarily Increasing Payments Related to Medicare Sequestration

 

To Top

Report Site Issues

Contact Us

Provider Directory

Site Map

Legal Information

Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Highmark Western and Northeastern New York Inc., serves eight counties in Western New York under the trade name Highmark Blue Cross Blue Shield of Western New York and serves 13 counties in Northeastern New York under the trade name Highmark Blue Shield of Northeastern New York. Each of these companies is an independent licensee of the Blue Cross Blue Shield Association. Blue Cross, Blue Shield and the Blue Cross and Blue Shield symbols are registered marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration.