Staying Up to Date with the Highmark Provider Manual

Ensure you are regularly reviewing the Highmark Provider Manual for our most recent guidance on:

  • Participation Rules
  • Credentialing/Recredentialing Criteria and Procedures
  • Medical Record Criteria
  • Requirements for 24/7 Coverage

Some recent noteworthy changes include:
  • Chapter 2, Unit 2: Medicare Advantage Products & Programs
  • Chapter 2, Unit 6: The BlueCard Program
  • Chapter 6, Unit 1: General Claim Submission Guidelines
  • Chapter 6, Unit 2: Electronic Claim Submission
  • Chapter 6, Unit 8: Payment Review

To see the full list of recent changes, visit the Highmark Provider Manual Changes page.


 

esubscribe