Update: Medical Injectable/Specialty Drug Authorization Submissions
2023 Office And Outpatient Evaluation And Management (E/M) Coding Changes
Prior Authorization Soon Required For SOC Infusion Drugs Included In FEP
Authorizations For Home Health, Hospice & Outpatient Therapy Routed to New UM Tool
March Is Colorectal Cancer Awareness Month – Patient Resources Available
Four Reimbursement Policies to Be Updated on May 29, 2023
New RP-075: Appropriate Use Criteria for Advanced Diagnostic Imaging
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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.
Highmark adheres to the Centers for Medicare and Medicaid Services (CMS) coverage determinations for Medicare Advantage (MA) membership. You're being redirected to the CMS search site.