As part of the No Surprises Act and Highmark’s Provider Directory requirements, you must verify your information with Highmark every 90 days to remain in our directory. Highmark members looking for a provider will not have access to providers who are no longer listed in our directory.
Beginning January 1, 2022, Highmark will have a new form for professional providers to fill out for name, address, phone, specialist, website, and terming practitioners from a group changes. Facility/Ancillary providers should continue to use the existing form. Once received, Highmark will update our directory with your information within two business days.
Additionally, we will be announcing a new NaviNet® function in early 2022 that will allow you to verify and edit your information online without having to submit a form or call us. Once this is live, you should use NaviNet to make changes whenever possible. Watch Plan Central and the Provider Resource Center for more information regarding this function in the coming weeks.
For more information on this change and other changes Highmark is making in regards to the No Surprises Act, review the No Surprises Act section of the Provider Resource Center.