Staying Up to Date with the Highmark Provider Manual
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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
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Some recent noteworthy additions include:
- West Virginia and New York guidance on Independent Review Organization fees has been added to Chapter 6, Unit 8
- Additional Guidance on Submitting Claims with More than 36 Diagnosis Codes has been added to Chapter 5, Unit 6
Provider News, Issue 5, 2022 | © 2022 Highmark Blue Cross Blue Shield West Virginia