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Special Bulletins

4/29/2022

Highmark Commercial Standard Professional Fee Schedule & Pricing Methodology Update

4/29/2022

Authorizations Will Soon Be Required For Out-Of-Area And Out-Of-Network Musculoskeletal, Genetic Testing, and Radiation Oncology Services

4/21/2022

Increase In Utilization Management Phone Volumes

4/18/2022

National Infant Immunization Week: Urging Parents to Stay on Track With Well Visits and Vaccines

4/15/2022

New Drugs To Be Added To Free Market Health Specialty Pharmacy Program

4/14/2022

Attention Medicare Advantage Providers: Issue Identified With Provider Appeal Timelines for Medical Review Determinations

4/13/2022

Population Health University’s Emergency Department Utilization Module Now Available

Read More Special Bulletins

Provider News

Issue 2, 2022

Medical Policy Update

April 2022
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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.