Highmark west virginia provider phone number

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For more information on CAQH, please visit their website. Providers who deliver care exclusively in an acute care hospital setting should complete the Request for Addition to Existing Assignment Account form and the Facility Based Provider Affirmation Statement.

Contact Us. Provider Directory. 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.

Quick Links: Manuals. Highmark Provider Manual. Medical Policy Medical Policy. Medical Policies. Medicare Advantage Medical Policies. Requiring Authorization. Requiring Authorization. Pharmacy Policy Search. Message Center. Manuals Highmark Provider Manual. Provider Information Management Forms. Electronic Forms Electronic Forms are submitted directly to Highmark via this website.

Request for Assignment Account - Please use this form when you need to create a billing account for your practice.

Addition Request to Existing Assignment Account — Please use this form when needing to update practitioners affiliation to existing assignment account information. Contract Upload Form Please only use this form to send Highmark a contract. Other uploads will not be processed and not be returned. Please use this form to indicate your DEA status. Return from Leave of Absence Form Please complete this form when the provider is returning from a leave of absence.

This will allow for the reinstatement of network participation. Request to be a Highmark Professional Pennsylvania Participating Provider - Please complete this form to have a Highmark Professional Pennsylvania Participating Provider contract sent to your billing practice. This form is for providers who are already enumerated.

This form may not be used to terminate an individual commercial network. It may only be used to terminate the groups of networks listed above. If this information is not on file with Highmark Blue Shield, reimbursement will be 50 percent of the approved allowance, in accordance with our existing policy.

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