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Plan Central Library - Archive 2022

12/30/2022
Professional
Fee Schedule Publication Moving to Quarterly
12/29/2022
Professional
2023 UDC Program – Exciting Changes Coming to the Monthly Webinar Series
12/28/2022
All
Upcoming Webinars: MCG Clinical Criteria
12/27/2022
All
Behavioral Health Will Soon Be Routed to New Utilization Management Tool
12/22/2022
All
Highmark Transition to MCG Health Happening in February
12/15/2022
All
Utilization Management Tool Maintenance This Weekend; Hold Authorizations
12/13/2022
Professional
Unconfirmed Diagnosis Code Payments Released for Quarter 3
12/8/2022
All
NaviNet Offline for Regular Maintenance December 9-10, 2022
12/2/2022
All
Medicare Advantage Pricing Retroactively Updated for Some Services
11/23/2022
All
Outpatient Services, Ancillary, DME and eviCore Authorizations Routed to New Utilization Management Tool
11/23/2022
All
Free Market Health to Facilitate Highmark’s Medical Injectable Drug Program
11/18/2022
All
Enhancements to eviCore Authorization Process
11/14/2022
All
Outpatient Services, Ancillary, DME and eviCore Authorizations Routed to New Utilization Management Tool
11/14/2022
All
MCG Chosen as Utilization Management Clinical Criteria Vendor
11/10/2022
All
NaviNet System Will Be Unavailable November 11-12, 2022
11/7/2022
All
Authorizations Section Added to Provider Resource Center
11/3/2022
All
Claims Processing Issue: Claims Rejecting H5031 in Error
11/1/2022
All
Update: BlueCard Plan Claims Processed as Out-of-Network Error
11/1/2022
All
Authorization Letters Available in NaviNet for Inpatient Services
10/24/2022
All
Annual Scorecard for Physical Medicine Pathways Program Now Available
10/17/2022
All
Pre-Approvals Not Required for Authorizations Submitted Between 8/22 - 10/3*
10/13/2022
All
New Dates Added! Provider Webinar: Submitting Electronic Inpatient Authorizations
10/13/2022
All
NaviNet System Will Be Unavailable October 14-15, 2022
10/6/2022
All
Guidelines For NaviNet Attachments; Use New History Feature To Confirm Delivery Of Attachments
10/3/2022
All
Join Provider Webinar: Submitting Electronic Inpatient Authorizations
10/3/2022
Professional
Highmark’s October Coding And Quality Knowledge College Webinar
9/27/2022
All
Issue Resolved: Inpatient Authorizations, Including Inquiries, Fully Operational
9/15/2022
Professional
ACA Members Now Added To The Unconfirmed Diagnosis Code Program
9/8/2022
All
NaviNet System Will Be Unavailable September 9-10, 2022
9/2/2022
All
Issue Identified: Musculoskeletal Eligibility And Benefits In NaviNet
9/2/2022
Professional
Issue Identified: Credentialing Within NaviNet
8/23/2022
All
Update: BlueCard Plan Claims Processed As Out-Of-Network In Error
8/19/2022
All
Attention Medicare Advantage Providers: Updating Your NPI Information In NPPES
8/17/2022
All
New Auth Submission Screens In NaviNet For Certain Services
8/5/2022
All
Possible Claim Status Inquiry Delays
7/20/2022
All
BlueCard Plan Claims Processed As Out-Of-Network In Error
7/14/2022
All
NaviNet System Will Be Unavailable July 15-16, 2022
7/6/2022
All
Issue Resolved: Evicore Authorizations
6/7/2022
All
Issues Resolved: Authorizations In NaviNet And Predictal
6/1/2022
Professional
Highmark’s Pennsylvania Children’s Health Insurance Program (CHIP) Creates Uniform Fee Schedule
5/12/2022
All
NaviNet System Will Be Unavailable May 13-14, 2022
5/11/2022
Professional
2022 UDC Progress Reports Available
5/5/2022
All
Guidelines For NaviNet Attachments
4/29/2022
All
2022 Semi-Annual Scorecards Now Available For Your Evaluation
4/21/2022
All
Increase In Utilization Management Phone Volumes
4/15/2022
All
Reminder: submitting registrations and authorizations for the physical medicine management program
4/13/2022
All
Issue Resolved: Unable To Search For Status Of Authorization In Auth Inquiry
4/8/2022
All
Condition Code Verification to Avoid Claim Denials
4/8/2022
All
NaviNet System Will Be Unavailable April 8-9, 2022
3/28/2022
All
Issue Resolved: Upcoming Payment In Cash Management Not Appearing in NaviNet
3/28/2022
All
Highmark Targets Health Care Fraud, Waste, And Abuse
3/17/2022
All
NaviNet System Will be Unavailable March 18-19, 2022
3/11/2022
All
Transition to PNC Healthcare/ECHO Health Happening This Week
2/23/2022
All
Transition to PNC Healthcare For Claims Payments & Remittances Delayed Until March
2/21/2022
Professional
eviCore Authorizations Issue
2/18/2022
All
NaviNet System Will be Unavailable February 18-19, 2022
2/14/2022
Professional
eAWV Program to Continue in 2022
2/11/2022
Professional
Highmark to Perform Annual HEDIS® Medical Record Reviews Beginning February 2022
2/4/2022
All
On Behalf of Anthem: Medicare Eligible New York City Retirees Transitioning to NYC Medicare Advantage Plus Plan in April
2/1/2022
All
Early EFT Payment
1/31/2022
All
Transition to PNC Healthcare for Claims Payments and Remittances Happening in February
1/13/2022
All
NaviNet System Will Be Unavailable January 21-22, 2022
1/13/2022
Professional
2022 UDC Program Information

 

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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.