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[{"id":39446,"versionId":87,"title":"Highmark Transitioning From NaviNet to Availity","type":4,"subType":null,"childSubType":"","date":"6/26/2023","endDate":null,"additionalDate":null,"imageUrl":null,"url":null,"urlText":null,"description":"\u003cp\u003eHighmark is replacing its existing provider portal, NaviNet\u003csup\u003e\u0026reg;\u003c/sup\u003e, with Availity\u003csup\u003e\u0026reg;\u003c/sup\u003e Essentials later this year. \u003ca href=\"https://content.highmarkprc.com/Files/NewsletterNotices/SpecialBulletins/sb-availity-transition-announcement-62623.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" title=\"CLICK HERE\"\u003eCLICK HERE\u003c/a\u003e to read more about the upcoming transition.\u003c/p\u003e","longDescription":null,"visible":false,"archive":false,"liveStatus":2},{"id":39208,"versionId":87,"title":"Highmark Post-PHE Changes","type":4,"subType":null,"childSubType":"","date":"4/7/2023","endDate":null,"additionalDate":null,"imageUrl":null,"url":null,"urlText":null,"description":"\u003cp\u003eWith the expiration of the PHE, Highmark has started the process of updating COVID-19-impacted policies and procedures. Many changes will take effect \u003cstrong\u003eJuly 6, 2023\u003c/strong\u003e. \u003ca href=\"https://content.highmarkprc.com/Files/NewsletterNotices/SpecialBulletins/sb-post-phe-provider-communication.pdf\" target=\"_blank\" rel=\"noopener noreferrer\"\u003e\u003cstrong\u003eCLICK HERE\u003c/strong\u003e\u003c/a\u003e for the details.\u003c/p\u003e","longDescription":null,"visible":false,"archive":false,"liveStatus":2}]

Special Bulletins

9/25/2023

Use of Self-Service Tools For Claim Status & Claim Investigation Expanding to FEP

9/15/2023

RSV Vaccines Added to the Preventive Schedule for Infants and Adults

9/7/2023

Highmark Introducing New Process for Physical Medicine Management Program

8/30/2023

New Credentialing Enhancements and Search Capabilities for PDM Tool

8/21/2023

HEDIS Measure: Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis

8/16/2023

Annual SPH Analytics Survey

8/3/2023

DELAYED: Pharmacy Authorization Submissions Moving to New Auth Automation Hub

Read More Special Bulletins

Provider News

Issue 9, September 2023

Medical Policy Update

September 2023
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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. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Highmark Western and Northeastern New York Inc., serves eight counties in Western New York under the trade name Highmark Blue Cross Blue Shield of Western New York and serves 13 counties in Northeastern New York under the trade name Highmark Blue Shield of Northeastern New York. Each of these companies is an independent licensee of the Blue Cross Blue Shield Association. Blue Cross, Blue Shield and the Blue Cross and Blue Shield symbols are registered marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration.

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