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Plan Central Library - Archive 2017

12/18/2017
All
Highmark Resolving Incorrect Rejections of Claims with a 50 Modifier
12/18/2017
Facility
New in 2017 Interqual Level of Care Criteria Displays
12/14/2017
All
Provider Service Extended Hours of Operation Continue Through End of January 2018
12/14/2017
All
Include Modifier FY When Reporting X-Rays Using Computed Tomography, Effective Jan. 1, 2018 - UPDATED
12/14/2017
All
Highmark NaviNet System Downtime Scheduled for Authorization Submissions Only: Dec. 15-16, 2017
12/7/2017
All
Important: Effective Jan 1. 2018: Update to the Skilled Nursing Facility (SNF) Benefit for Federal Employee Program (FEP)
12/6/2017
All
Highmark Navinet System Downtime: Dec. 8-9, 2017
11/21/2017
All
Highmark Navinet System Downtime November 23-24, 2017
11/21/2017
Professional
Tips For Capturing Free Breast Cancer Screenings For Your Attributed Highmark Patients For MA Stars Measurement
11/17/2017
Facility
NaviNet Enhancements Effective November 17, 2017
11/16/2017
All
Highmark Navinet System Downtime November 17-18, 2017
11/15/2017
All
Antibiotic Awareness Week: Nov. 13 Through 19, 2017
11/9/2017
All
Highmark’s Clinical Services Utilization Management 2017 Holiday Schedule
11/7/2017
All
Issue Identified: Lab Claims Incorrectly Denying For No Prior Authorization On File
11/7/2017
Facility
Latest Skilled Nursing Provider Webinar Now Available On Resource Center
11/6/2017
Professional
Benefit Level Alignment For Physical Therapy Providers And Doctors Of Chiropractic Medicine Effective Jan. 1, 2018
11/3/2017
All
Attn: Community Blue Altnet Network Providers: Sears Holdings Medical Benefits Program As Of 1-1-18
11/2/2017
All
Extended Provider Service Hours Of Operation Available Through End Of 2017
11/2/2017
All
ATLAS Systems to Confirm Highmark Directory Information
11/1/2017
Professional
Drugs And Biological Reimbursement Change For NOC Codes Effective Jan. 1, 2018
11/1/2017
Professional
Drugs And Biological Reimbursement Change Jan. 1, 2018
11/1/2017
Professional
MUE Update For ABA Codes
10/31/2017
All
Highmark's ACA Select Network For 2018: Important News!
10/27/2017
All
Revised Radiology Management Clinical Guidelines - Effective 1-1-2018
10/26/2017
Professional
Update: Highmark To Standardize Allowances For Custom Compression Stockings Or Sleeves, Effective Nov. 1, 2017
10/26/2017
Facility
Oct. 20, 2017, Installation Of Medicare Severity Diagnosis Related Groups V35.0 Mapping Software Postponed
10/25/2017
All
Network Changes for Skilled Nursing Facilities
10/23/2017
All
Annual Scorecards Now Available For PMMP Pathways Participants
10/20/2017
All
Need Help With Routine Inquiries? Use Navinet And Save Your Valuable Time.
10/20/2017
All
Revised List Of HCPCS Codes Requiring NDC Now Available On Provider Resource Center
10/20/2017
All
Revised Laboratory Management Guidelines Effective Jan. 1, 2018
10/13/2017
All
Introducing the New Physical Medicine Provider Portal in NaviNet
10/12/2017
All
Temporary Extension Of Provider Service Hours Of Operation Begins Oct. 16, 2017; Provider Service Line To Be Open 7 A.M. To 6 P.M.Est
10/11/2017
All
Provider Enrollment Requirement For Services Delivered To CHIP Members
10/11/2017
All
Highmark Navinet System Downtime: Oct. 13-14, 2017
10/11/2017
All
Attn Prescribing Physicians: 2018 Formulary And Prescription Management Programs
10/10/2017
All
Peer-To-Peer Review Process For Medicare Advantage Continues For Certain Partnership Vendors
9/29/2017
Facility
Medicare Severity Diagnosis Related Groups V35.0 Mapping Software Delay May Affect Claims Processing
9/27/2017
All
Medicare Advantage: Important Reminder On Our Network Participating Providers
9/27/2017
Facility
Revision: Outpatient Prospective Payment System (OPPS) Billing
9/26/2017
All
Alert: You May Experience Longer Wait Times When Calling Highmark's Provider Service; Navinet And Provider Service Telephone Self-Service Options Offer Assistance
9/25/2017
All
Provider Resource Center Users: Tell Us What You Think!
9/22/2017
Professional
Reminder: Submit DMEPOS PAP Quality Program Patient Compliance Data By Oct. 1, 2017
9/22/2017
Professional
2017 UDC Program 5In5 Webinar Follow-Up
9/22/2017
Professional
Submitted Claims In “Sent” Status
9/22/2017
All
PANTHERx Specialty Pharmacy Preferred For Five Drugs
9/18/2017
Facilty
Coming In November 2017: Navinet Enhancements
9/18/2017
All
Important Reminder:Immediate Action Required: Providers Must Ensure Accurate Directory Information To Be Listed
9/11/2017
Professional
Payments Released For UDC Program Q2 2017 Submissions
9/11/2017
All
Highmark Private Duty Nursing Commercial Medical Policy Updated, Effective Sept. 11, 2017
9/8/2017
Facility
Clarification: Outpatient Prospective Payment System (OPPS) Billing Correction Made 7/28/17
9/6/2017
All
Highmark Navinet System Downtime: September 8-9, 2017
9/1/2017
Professional
Highmark To Standardize Allowances For Custom Compression Stockings Or Sleeves, Effective Nov. 1, 2017
8/29/2017
Facility
Readmission Guidelines Determine Payment For Acute Inpatient Care Claims
8/29/2017
Facility
Highmark's Readmission Guidelines For Medicare Advantage Acute Care Inpatient Admissions Explained
8/29/2017
Professional
2017 UDC July Refresh Forms : Duplicate Data Identified
8/28/2017
All
Provider Enrollment Requirement For Services Delivered To CHIP Members
8/25/2017
All
Reminder: How To Fax Documents To NIA
8/24/2017
Facility
SNF Pay For Value Program Introductory Webinar Now Available
8/24/2017
Facility
Reducing Readmissions Webinar Now Available
8/16/2017
Facility
Outpatient Prospective Payment System (OPPS) Billing Requirement Correction
8/15/2017
Professional
Attention Medical Oncology Pathways Participating Providers: Medical Oncology Pathways Program to Cover Four Additional Cancer Types, Effective 10/1/2017
8/14/2017
All
Highmark Discontinues Peer-To-Peer Review Process For Medicare Advantage, Effective Sept. 12, 2017
8/14/2017
Professional
Expanded Access To Infused Drug Therapy
8/11/2017
Facility
Reminder: Timely Notice Of Inpatient Admissions
8/10/2017
All
Highmark Navinet System Downtime: Aug. 11-12, 2017
8/9/2017
All
Pennsylvania Employees Benefit Trust Fund Authorization Change As Of 7/1/17
8/8/2017
All
Three Additional Drugs To Require Prior Authorization Beginning Oct. 6, 2017
8/4/2017
Facility
Highmark Releases Updated Post-Exposure Rabies Treatment Billing Guidelines (Revised 8/4/2017)
8/4/2017
All
Medication Adherence Tip Sheet: Help Your Patients Stay on Track!
8/2/2017
Professional
2017 UDC Provider Progress Report Changes – August 2017
8/1/2017
Facility
Attention Home Health Agencies: Number Of Homebound Status Reasons Being Minimized For Home Health Authorization Requests
7/26/2017
All
Correcting Claims Change: Electronic Submission Required On 1-1-2018
7/25/2017
Facility
UB Claim Submission Enhancement Coming Friday, July 28, 2017
7/25/2017
All
Highmark Navinet® Enhancements Coming Friday, July 28, 2017
7/24/2017
Professional
2017 UDC July Refresh Forms Available
7/17/2017
All
Highmark Experiencing Issues With Receiving Authorization Submissions
7/14/2017
All
CMS Federal Regulation Mandates Accurate Provider Data
7/14/2017
All
Important News: 2017 InterQual Level Of Care Criteria Release Postponed
7/13/2017
All
Highmark Navinet® System Downtime: July 14-15, 2017
7/11/2017
Professional
New Resource For Closing Care Gaps Added To Resource Center
7/7/2017
All
Reminder: Adhere To The ICD-10-CM Official Coding Guidelines When Reporting Diagnosis Codes
6/30/2017
All
System Downtime: June 30-July 1, 2017
6/30/2017
All
DMEPOS PAP Quality Program Patient Compliance Data Submission Due Oct. 1, 2017
6/30/2017
All
DMEPOS PAP Quality Program Patient Compliance Data Submission Due Oct. 1, 2017
6/27/2017
All
2017 InterQual® Level of Care Criteria Release July 14, 2017
6/26/2017
Professional
PCPs are Invited to a Webinar to Discuss the 2017 UDC July Refresh
6/26/2017
Professional
Two Drugs Being Removed from Highmark's Mandatory Medical Injectable Drug Program
6/22/2017
All
Six Drug Codes To Be Added To The List Of Outpatient Procedures Requiring Prior Authorization, Effective Sept. 1, 2017
6/21/2017
All
Enhancement for Highmark Navinet Coming Friday, June 23, 2017
6/13/2017
All
Correction to Highmark Medical Policy HMK L-28
6/7/2017
All
Provider Service To Resume Normal Operating Hours Friday, June 9, 2017
6/5/2017
All
Behavioral Health Survey Will Be Mailed Shortly
6/2/2017
Professional
Hypertension Management Program Offers Free Blood Pressure Monitors To At-Risk FEP Members
6/2/2017
All
Temporary Extension Of Commerical Provider Service Hours Of Operation Begins June 5, 2017
5/26/2017
All
Laboratory Management Program Changes To Occur On June 30, 2017, And July 31, 2017
5/26/2017
All
Alert: Longer Wait Times May Be Experienced When Calling Highmark's Provider Service
5/25/2017
All
Attention Providers: Highmark Medical Policy E-32 Publishing Delay
5/24/2017
Professional
First Time Generics Not Always Lowest Cost Alternative
5/22/2017
All
Attention Providers: Changes Occurring For Locum Tenens Service Time Frames
5/18/2017
All
Navinet Update: Copy Button Issue
5/18/2017
All
May 19-20 System Downtime
5/17/2017
All
Warning To Providers About Fraudulent Prescription Scam
5/16/2017
All
Attention Physical Medicine Provider Pathways Participants: 2017 Semi-Annual Scorecards Now Available For Your Evaluation
5/15/2017
Professional
Four Drugs Added To Highmark's Medical Injectable Drug Program Effective June 15, 2017
5/15/2017
Professional
One Drug Being Added As Voluntary To Highmark’s Medical Injectable Drug Program Effective June 15, 2017
5/12/2017
All
Attention Durable Medical Equipment Suppliers, Home Infusion Suppliers, Home Health Care Providers, Skilled Nursing Facilities: Equian To Conduct Post-Payment Audits For Highmark Beginning June 1, 2017
5/12/2017
Professional
Payments For Q4 2016 UDC Program To Be Released
5/4/2017
All
Highmark Commercial Medical Policy R-21 Updated And Reissued; Medical Policy Z-63 To Be Republished 5/8/2017
5/2/2017
All
Prevent Claim Denials: Report Diagnosis Codes According To The ICD-10-CM Official Coding Guidelines
5/1/2017
All
Reminder: Immediate Action Required: Providers Must Ensure Accurate Directory Information To Be Listed
4/28/2017
All
NaviNet System Issues: Unexpected Pend Of Authorization Requests
4/27/2017
Facility
Highmark Releases Updated Post-Exposure Rabies Treatment Billing Guidelines
4/21/2017
All
ALERT: Important Continued Stay Review Templates No Longer Available via Navinet Starting April 24, 2017
4/20/2017
All
Highmark Partners With Best Doctors
4/19/2017
All
Highmark Navinet Downtime Scheduled For April 21, 2017
4/7/2017
Facility
Attention Home Health Agencies: Temporary Change Affects Submission Process For Initial And Extension Authorization Requests
4/5/2017
All
Home Health Providers Only: Technical Issue With Authorizations
4/3/2017
All
Upgrading to Serve You Better: Highmark Navinet System Enhancements Coming 4/24/17
4/3/2017
All
Corrected Claim's NAIC Code Must Match NAIC Code Reported On Original Claim
3/31/2017
Facility
Readmission Guidelines Determine Payment For Acute Inpatient Care Claims
3/31/2017
Facility
Highmark's Readmission Guidelines For Medicare Advantage Acute Care Inpatient Admissions Explained
3/31/2017
All
Authorization Request Update: Highmark Upgrading Systems To Serve You Better
3/30/2017
All
Evicore Program Requires Re-Registration On New Website
3/27/2017
All
Correction Underway To Address Radiology Claims Denied In Error For No Authorization
3/24/2017
All
Evicore Program Requires Re-Registration On New Website
3/22/2017
Professional
Claims For Procedure Code J9035 (Injection, Bevacizumab, 10 Mg) Denying In Error
3/21/2017
All
Immediate Action Required: Providers Must Ensure Accurate Directory Information To Be Listed
3/20/2017
All
Highmark Combats Health Care Fraud Through Detection And Prevention
3/20/2017
All
2017 UDC Program - You Are Invited!
3/17/2017
All
Change In Coverage Requirements For AUVI-Q (Epinephrine Injection USP) Auto Injector
3/16/2017
All
March 17–18 Navinet Downtime To Affect Authorization Submissions
3/15/2017
All
Claims Incorrectly Denied for Lack of Authorization to be Reprocessed
3/14/2017
Professional
CMS Requires Our Quarterly Outreach To Verify Accuracy Of Your Data
3/10/2017
Facility
Skilled Nursing Facility Outpatient Fee Schedule Update/Medicare Advantage
3/9/2017
All
Clarification: Navinet Authorization Submission
3/9/2017
Professional
Peer To Peer Review Process Changes For Medicare Advantage Members
3/1/2017
All
Highmark To Expand Enhanced Clinical Editing Processes To DME And O&P Claims May 1, 2017
2/24/2017
Professional
Site-Of-Service Payment Differential To Be Updated March 6, 2017
2/24/2017
All
Clarification: Highmark Requirements For Prior Authorization For Non-Emergent Ambulance Transport
2/21/2017
Facility
Submitting Pick-Up Zip Codes On Institutional Ambulance Claims
2/14/2017
Professional
Claims Processing Update To Impact Modifier 25 And Modifier 59
2/10/2017
Professional
Clarification On Time Rounding For Anesthesia
2/9/2017
Facility
The 2017 Updated Notice of Medicare Non-Coverage Has Been Released
2/9/2017
All
Navinet Downtime Scheduled For Feb. 10, 2017
2/9/2017
All
Effective Feb. 9, 2017: Change in Coverage Requirements for Evzio (Naloxone) Autoinjector
2/7/2017
All
Auth Submission Update: Some System Upgrades Delayed
2/3/2017
All
Highmark Adding Commercial Products To Enhanced Clinical Editing Process 3/6/17
2/1/2017
Professional
Five Cancer Types To Be Added To Medical Oncology Pathways Program 4/1/17
2/1/2017
All
Highmark To Expand Enhanced Clinical Editing Processes April 1, 2017
2/1/2017
All
Radiology Management Urgent Auth Requests
1/31/2017
Professional
Clinical Laboratory Fees
1/30/2017
Professional
One Drug Being Removed From Highmark's Voluntary Medical Injectable Drug Program
1/26/2017
Professional
Submit Oral Surgery Claims To United Concordia Dental If Member Has Dental Coverage
1/24/2017
All
Upgrading To Serve You Better - Updated on 2/7/17
1/20/2017
Professional
The Highmark 2017 Unconfirmed Diagnosis Code (UDC) Program is Launching in January!
1/17/2017
All
Clarification Of Prior Auth For Repetitive Scheduled Non-Emergent Ambulance Transport
1/13/2017
Professional
Walgreens Specialty Pharmacy Will Be Designated Provider For A Certain HIT Drug
1/13/2017
Professional
Two Drugs Added To Highmark's Medical Injectable Drug Program
1/13/2017
Professional
2016 UDC Program Re-Submission Extension Granted
1/12/2017
Professional
Annual HEDIS Medical Record Reviews To Begin In February
1/5/2017
Professional
Claims Processing Update To Impact Modifiers 25 And 59, Effective Feb. 13, 2017
1/3/2017
Facility
New Medicare Outpatient Observation Notice Requirement Takes Effect 3/8/17

 

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