Provider News
Provider News is a valuable resource for health care providers who participate in our networks. Published monthly on the last Monday of the month, Provider News conveys important product, policy, and administrative information, including billing, claims, and program updates.
The publication also features the latest news, information, tips, and reminders about our products and services, as well as relevant interviews, articles, and stories, for health care professionals who serve Highmark Blue Cross Blue Shield members.
Regular topics include:
- New and Updated Reimbursement Policies
- Authorization Updates
- Staying Up to Date with the Highmark Provider Manual
For medical policy and claims administration updates, including coding guidelines and procedure code revisions, be sure to read Medical Policy Update.
Please e-Subscribe to receive e-mail notification when the latest issue is available online.
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Members\u003c/li\u003e\n\u003cli\u003eNew and Updated Reimbursement Policies\u003c/li\u003e\n\u003cli\u003eStaying Up to Date with the Highmark Provider Manual\u003c/li\u003e\n\u003c/ul\u003e","longDescription":null,"visible":false,"archive":false,"liveStatus":2},{"id":39525,"versionId":17730,"title":"Issue 7, July 2023","type":2,"subType":null,"childSubType":"","date":"7/31/2023","endDate":null,"additionalDate":null,"imageUrl":"https://content.highmarkprc.com/Files/Region/hbcbs/NewsletterNotices/ProviderNews/2xbcbs-pn-issue-7-2023.png","url":"https://hbcbs.highmarkprc.com/pnews/pn-7-2023/","urlText":"Read","description":"\u003cul\u003e\n\u003cli\u003eSelf-Service Tools Now Required for Routine Claim Inquiries\u003c/li\u003e\n\u003cli\u003eThe Transition to a New Provider Portal\u003c/li\u003e\n\u003cli\u003eAugust is National Immunization Awareness Month\u003c/li\u003e\n\u003cli\u003eShort Takes: Diversity Survey, Stabilize and Transfer Protocol, and 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2023","type":2,"subType":null,"childSubType":"","date":"6/26/2023","endDate":null,"additionalDate":null,"imageUrl":"https://content.highmarkprc.com/Files/Region/hbcbs/NewsletterNotices/ProviderNews/2xbcbs-pn-issue-6-2023.png","url":"https://hbcbs.highmarkprc.com/pnews/pn-6-2023/","urlText":"Read","description":"\u003cul\u003e\n\u003cli\u003eHighmark Will Be Moving to a New Provider Portal\u003c/li\u003e\n\u003cli\u003e2023 Preventive Schedule Mid-Year Update: New Anxiety Screening Benefit\u003c/li\u003e\n\u003cli\u003eBlueCard Tips and Reminders\u003c/li\u003e\n\u003cli\u003eDiversity Business Classification \u0026ndash; Take Our Survey\u003c/li\u003e\n\u003cli\u003eIs Your PROMISe ID Up to Date?\u003c/li\u003e\n\u003cli\u003eShort Takes: Rendering Provider Info, PHE Reminders and More\u003c/li\u003e\n\u003cli\u003eWorking to Meet Patients\u0026rsquo; Language Needs\u003c/li\u003e\n\u003cli\u003eLatest HEDIS Audit Results Now Available\u003c/li\u003e\n\u003cli\u003eFree Coding Webinar on Depressive Disorders\u003c/li\u003e\n\u003cli\u003eKey FAQs: Medicare Compliance Training\u003c/li\u003e\n\u003cli\u003eClaims Corner \u0026ndash; 3 Ways to Conduct a Claim Status Inquiry\u003c/li\u003e\n\u003cli\u003eReimbursement Changes to Incident To Services\u003c/li\u003e\n\u003cli\u003eAnd more!\u003c/li\u003e\n\u003c/ul\u003e","longDescription":null,"visible":false,"archive":false,"liveStatus":2},{"id":39348,"versionId":17730,"title":"Issue 5, May 2023","type":2,"subType":null,"childSubType":"","date":"5/26/2023","endDate":null,"additionalDate":null,"imageUrl":"https://content.highmarkprc.com/Files/Region/hbcbs/NewsletterNotices/ProviderNews/2xbcbs-pn-issue-5-2023.png","url":"https://hbcbs.highmarkprc.com/pnews/pn-5-2023/","urlText":"Read","description":"\u003cul\u003e\n\u003cli\u003eInterview with Kate Musler, SVP, Provider Network and Payment\u003c/li\u003e\n\u003cli\u003eTelehealth FAQs\u003c/li\u003e\n\u003cli\u003eCOVID-19 Vaccine Reimbursement 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2023","type":2,"subType":null,"childSubType":"","date":"4/24/2023","endDate":null,"additionalDate":null,"imageUrl":"https://content.highmarkprc.com/Files/Region/hbcbs/NewsletterNotices/ProviderNews/2xbcbs-pn-issue-4-2023.png","url":"https://hbcbs.highmarkprc.com/pnews/pn-4-2023/","urlText":"Read","description":"\u003cul\u003e\n\u003cli\u003ePublic Health Emergency Ending: Updates for Providers\u003c/li\u003e\n\u003cli\u003eMedicaid Redetermination: Resources to Help Patients Who May Lose Coverage\u003c/li\u003e\n\u003cli\u003eUpcoming Changes to the Highmark Provider Manual\u003c/li\u003e\n\u003cli\u003eQuality Program Information\u003c/li\u003e\n\u003cli\u003eHome Health Agencies: Submit Type of Bill 32A for All Medicare Advantage Claims\u003c/li\u003e\n\u003cli\u003eShort Takes: New Provider Data Maintenance Tool\u003c/li\u003e\n\u003cli\u003eNew and Updated Reimbursement Policies\u003c/li\u003e\n\u003cli\u003eAuthorization Updates\u003c/li\u003e\n\u003cli\u003eEnsure Your Directory 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Conditions\u003c/li\u003e\n\u003cli\u003eNew and Updated Reimbursement Policies\u003c/li\u003e\n\u003cli\u003eAuthorization Updates\u003c/li\u003e\n\u003cli\u003eImportant Highmark Reminders\u003c/li\u003e\n\u003cli\u003eQuarterly Formulary Updates\u003c/li\u003e\n\u003cli\u003eStaying Up to Date With the Highmark Provider Manual\u003c/li\u003e\n\u003c/ul\u003e","longDescription":null,"visible":false,"archive":false,"liveStatus":2},{"id":39086,"versionId":17730,"title":"Issue 2, February 2023","type":2,"subType":null,"childSubType":"","date":"2/27/2023","endDate":null,"additionalDate":null,"imageUrl":"https://content.highmarkprc.com/Files/Region/hbcbs/NewsletterNotices/ProviderNews/2xbcbs-pn-2023-issue-2.png","url":"https://hbcbs.highmarkprc.com/pnews/pn-2-2023/","urlText":"Read","description":"\u003cul\u003e\n\u003cli\u003eAnnual HEDIS\u003csup\u003e\u0026reg;\u003c/sup\u003e Medical Record Review Now Underway\u003c/li\u003e\n\u003cli\u003ePublic Health Emergency Ending on May 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2023\u003c/li\u003e\n\u003cli\u003eMCG Update\u003c/li\u003e\n\u003cli\u003eBest Practice: Metabolic Monitoring in Children and Adolescents on Antipsychotics\u003c/li\u003e\n\u003cli\u003eFree Coding Webinar on Dementia\u003c/li\u003e\n\u003cli\u003eNew and Updated Reimbursement Policies\u003c/li\u003e\n\u003cli\u003eAuthorization Updates\u003c/li\u003e\n\u003cli\u003eQuarterly Formulary Updates Available Online\u003c/li\u003e\n\u003cli\u003eStaying Up to Date With the Highmark Provider Manual\u003c/li\u003e\n\u003c/ul\u003e","longDescription":null,"visible":false,"archive":false,"liveStatus":2},{"id":38148,"versionId":17730,"title":"Issue 5, October 2022","type":2,"subType":"","childSubType":"","date":"10/31/2022","endDate":null,"additionalDate":null,"imageUrl":"https://content.highmarkprc.com/Files/Region/hbcbs/NewsletterNotices/ProviderNews/2xbcbs-pn-2022-issue-5.png","url":"https://hbcbs.highmarkprc.com/pnews/pn-5-2022/","urlText":"Read","description":"\u003cul\u003e\n\u003cli\u003eInterview with Dr. Bradley Karlin, Executive Medical Director of Behavioral Health for Highmark Health\u003c/li\u003e\n\u003cli\u003eMCG Chosen as Utilization Management Clinical Criteria Vendor\u003c/li\u003e\n\u003cli\u003eMedicaid Redetermination: When Will It Restart and What to Expect\u003c/li\u003e\n\u003cli\u003ePreventing or Delaying the Onset of Diabetes Retinal Disease\u003c/li\u003e\n\u003cli\u003eCan New Patients Find Your Practice?\u003c/li\u003e\n\u003cli\u003eNeed CME for 2022?\u003c/li\u003e\n\u003cli\u003eNew and Updated Reimbursement Policies\u003c/li\u003e\n\u003cli\u003eAuthorization Updates\u003c/li\u003e\n\u003cli\u003eStaying Up to Date With the Highmark Provider Manual\u003c/li\u003e\n\u003c/ul\u003e","longDescription":null,"visible":false,"archive":false,"liveStatus":2},{"id":38149,"versionId":17730,"title":"Issue 4, August 2022","type":2,"subType":"","childSubType":"","date":"8/29/2022","endDate":null,"additionalDate":null,"imageUrl":"https://content.highmarkprc.com/Files/Region/hbcbs/NewsletterNotices/ProviderNews/2xbcbs-pn-2022-issue-4.png","url":"https://hbcbs.highmarkprc.com/pnews/pn-4-2022/","urlText":"Read","description":"\u003cul\u003e\n\u003cli\u003eThe Right Time for Right Care\u003c/li\u003e\n\u003cli\u003e4 Tips on Helping Older Teenagers Graduate from Pediatric to Adult Care\u003c/li\u003e\n\u003cli\u003eVirtual Health Resources\u003c/li\u003e\n\u003cli\u003eWorking to Meet Patients\u0026rsquo; Language Needs\u003c/li\u003e\n\u003cli\u003eReminder: New Fee Schedule for Highmark Healthy Kids\u003c/li\u003e\n\u003cli\u003eFree Coding Webinar on Diabetic Complications\u003c/li\u003e\n\u003cli\u003eNew and Updated Reimbursement Policies\u003c/li\u003e\n\u003cli\u003eQuarterly Formulary Updates Available Online\u003c/li\u003e\n\u003cli\u003eStaying Up to Date With the Highmark Provider Manual\u003c/li\u003e\n\u003c/ul\u003e","longDescription":null,"visible":false,"archive":false,"liveStatus":2},{"id":38150,"versionId":17730,"title":"Issue 3, June 2022","type":2,"subType":"","childSubType":"","date":"6/27/2022","endDate":null,"additionalDate":null,"imageUrl":"https://content.highmarkprc.com/Files/Region/hbcbs/NewsletterNotices/ProviderNews/2xbcbs-pn-2022-issue-3.png","url":"https://hbcbs.highmarkprc.com/pnews/pn-3-2022/","urlText":"Read","description":"\u003cul\u003e\n\u003cli\u003eNational Childhood Obesity Week, July 4\u0026ndash;10\u003c/li\u003e\n\u003cli\u003eLatest HEDIS Audit Results Now Available\u003c/li\u003e\n\u003cli\u003eIs Your PROMISe ID Up to Date?\u003c/li\u003e\n\u003cli\u003eKey FAQs: Medicare Compliance Training\u003c/li\u003e\n\u003cli\u003eNew and Updated Reimbursement Policies\u003c/li\u003e\n\u003cli\u003eUpdates to Highmark\u0027s List of Procedures Requiring Authorization\u003c/li\u003e\n\u003cli\u003eStaying Up to Date With the Highmark Provider Manual\u003c/li\u003e\n\u003c/ul\u003e","longDescription":null,"visible":false,"archive":false,"liveStatus":2},{"id":38151,"versionId":17730,"title":"Issue 2, April 2022","type":2,"subType":"","childSubType":"","date":"4/25/2022","endDate":null,"additionalDate":null,"imageUrl":"https://content.highmarkprc.com/Files/Region/hbcbs/NewsletterNotices/ProviderNews/2xbcbs-pn-2022-issue-2.png","url":"https://hbcbs.highmarkprc.com/pnews/pn-2-2022/","urlText":"Read","description":"\u003cul\u003e\n\u003cli\u003eInterview With Dr. Thomas Lundquist\u003c/li\u003e\n\u003cli\u003ePopulation Health University Emergency Department Utilization Module Now Available\u003c/li\u003e\n\u003cli\u003eMental Health Awareness 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Formulary Updates Available Online\u003c/li\u003e\n\u003cli\u003eStaying Up to Date with the Highmark Provider Manual\u003c/li\u003e\n\u003c/ul\u003e","longDescription":null,"visible":false,"archive":false,"liveStatus":2},{"id":38153,"versionId":17730,"title":"Issue 6, 2021","type":2,"subType":"","childSubType":"","date":"12/29/2021","endDate":null,"additionalDate":null,"imageUrl":"https://content.highmarkprc.com/Files/Region/hbcbs/NewsletterNotices/ProviderNews/2xpn-issue6-2021-bcbs.png","url":"https://hbcbs.highmarkprc.com/pnews/pn-6-2021/","urlText":"Read","description":"\u003cul\u003e\n\u003cli\u003eNew Address Change Form\u003c/li\u003e\n\u003cli\u003ePennsylvania\u0027s Telephonic Psychiatric Consultation Service Program for CHIP Members\u003c/li\u003e\n\u003cli\u003ePopulation Health Transitions of Care Module Now Available for CME Credit\u003c/li\u003e\n\u003cli\u003eECCM to Replace Aspire Health\u003c/li\u003e\n\u003cli\u003eNew and Updated Reimbursement 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