Highmark Health Prior Authorization Code

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Prior Authorization Code Lookup - Highmark Health Options

(Just Now) WebReview the Prior Authorizations section of the Provider Manual. Call Provider Services at 1-844-325-6251, Monday–Friday, 8 a.m.–5 p.m. Or contact your Provider Account Liaison.

https://www.highmarkhealthoptions.com/providers/prior-auth-lookup.html

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Claims and Authorization - providers.highmark.com

(5 days ago) WebGet to know Highmark's requirements for prior authorization and claims before performing a procedure or service. Understand Highmark's authorization requirements, get …

https://providers.highmark.com/claims-and-authorization

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Authorization Guidance - providers.highmark.com

(6 days ago) WebFind out whether prior authorization is needed, learn how to submit, update, and inquire about authorization requests, Type a procedure code or name in the search bar to …

https://providers.highmark.com/content/highmark/en/providerresourcecenter/home/claims-and-authorization/authorization-guidance

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Authorization Requirements - Provider Resource Center

(4 days ago) WebHome Health/Home Infusion Therapy/Hospice: 888-567-5703. Inpatient Clinical: 800-416-9195. Medical Injectable Drugs: 833-581-1861. Musculoskeletal (eviCore): 800-540 …

https://hbs.highmarkprc.com/Claims-Payment-Reimbursement/Procedure-Service-Requiring-Prior-Authorization

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Welcome to the Highmark Provider Resource Center

(1 days ago) WebHighmark's Provider Resource Center is your source for all provider-related information and updates. The PRC offers resources to assist in the treatment of your Highmark patients, …

https://providers.highmark.com/

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Authorization Forms - providers.highmark.com

(7 days ago) WebPharmacy Prior Authorization Forms. Behavioral Health Forms. Certificate of Medical Necessity (CMN) For DME Providers Forms. Medical Injectable Drug Forms. …

https://providers.highmark.com/training-and-resources/forms/medical-authorization-forms

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2023 Prior Authorization List - Highmark Health Options

(2 days ago) Web58554 Prior authorization is required, medical necessity criteria must be met. Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; 58553 …

https://www.highmarkhealthoptions.com/content/dam/digital-marketing/en/highmark/highmarkhealthoptions/providers/medication-prior-auth/HHO_PriorAuthList_042023.pdf

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Provider Resources Delaware Highmark Health Options

(3 days ago) WebStandard Rates for medical specialty drugs and injections are reimbursed at the Average Sale Price (“ASP”) minus 6%. For more information, call Provider Services at 1-844-325 …

https://tenv3.highmarkhealthoptions.com/providers/provider-resources.html

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Upcoming Prior Authorization Changes

(3 days ago) WebThe following prior authorization changes will occur on May 1, 2023: Two cardiac implantable codes will move from eviCore to Highmark management. 19 …

https://content.highmarkprc.com/Files/NewsletterNotices/SpecialBulletins/sb-upcoming-prior-auth-changes-042823-de-pa-wv.pdf

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Authorization Updates

(1 days ago) WebThese changes are announced in the form of Special Bulletins and other communications posted on Highmark’s Provider Resource Center (PRC). The most recent updates …

https://hbs.highmarkprc.com/pnews/pn-12-2023/authorization_updates.html

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Home Health Visits Prior Authorization Request Form

(6 days ago) WebPrior Authorization Request Form Highmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, an association of independent Blue Cross Blue …

https://tenv3.highmarkhealthoptions.com/content/dam/digital-marketing/en/highmark/highmarkhealthoptions/providers/provider-resources/provider-forms/HomeHealthVisitsPriorAuthorizationRequestForm-07262022.pdf

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Authorization Updates - hbs.highmarkprc.com

(Just Now) WebAuthorization Updates. During the year, Highmark adjusts the List of Procedures and Durable Medical Equipment (DME) Requiring Authorization. For information regarding …

https://hbs.highmarkprc.com/pnews/pn-4-2023/authorization_updates.html

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Prior Authorization Changes Occurring on March 1, 2024

(2 days ago) WebEffective March 1, 2024, the following additions will be made to the prior authorization list: 16 codes related to hysterectomy procedures and services. One code for a hypoglossal …

https://content.highmarkprc.com/Files/NewsletterNotices/SpecialBulletins/sb-march-1-prior-auth-changes-de-pa-wv-111723.pdf

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Authorization Forms - Provider Resource Center

(5 days ago) WebAuthorization Forms. Bariatric Surgery Precertification Worksheet. Behavioral Health (Outpatient - ABA) Service Authorization Request. Home Health …

https://hbcbs.highmarkprc.com/Forms/Authorization-Forms

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