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.
Provider News, Issue 2, February 2024 | © 2024 Highmark Blue Cross Blue Shield