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2023 Preventive MedUSafelines

WEBFor 2023, Highmark’s Preventive Health Guidelines feature these changes: Nutritional counseling for Obesity Prevention in midlife women, ages 40 to 60 years old, with …

Actived: 6 days ago

URL: https://hwvbcbs.highmarkprc.com/pnews/pn-1-2023/2023_preventive_health_guidelines.html

Provider Resource Center

WEBThe following entities, which serve the noted regions, are independent licensees of the Blue Cross Blue Shield Association: Western and Northeastern PA: Highmark Inc. d/b/a …

Category:  Health Go Health

Provider Resource Center

WEBAttached please find the following documents to help you start the credentialing process: Initial Application for Facility and Ancillary Providers. …

Category:  Health Go Health

Provider Resource Center

WEBBehavioral Health Fax Number for Authorization Requests: 1-877-650-6112. For precertification or continued stay review requests for Behavioral Health treatment, …

Category:  Health Go Health

Provider Orientation

WEBProviders who have not registered to accept payments electronically will receive virtual credit card (VCC) payments with their Explanation of Benefits (EOBs). Providers may …

Category:  Health Go Health

Hypertension Management Program Offers Free Blood Pressure …

WEBFEP has initiated the Hypertension Management Program to provide free electronic blood pressure monitors to FEP enrollees over age 18 who have a diagnosis of hypertension, …

Category:  Health Go Health

Provider Resource Center

WEBHelion is a health care technology and services company that helps payers cultivate high-performing networks while empowering providers to operate at their best …

Category:  Health Go Health

ECCM to Replace Aspire Health

WEBECCM is a free, flexible program that reduces disruption for the member, family, and caregiver by streamlining communication across health care settings to ensure the …

Category:  Health Go Health

Provider Resource Center

WEBThe Medical Policy Department, in collaboration with physician specialists, develop and maintain medical necessity and coverage guidelines for all medical-surgical …

Category:  Medical Go Health

Claim Payments and Remittances to be provided by PNC …

WEBBeginning November 8, 2021, claim payments will be generated from PNC-ECHO Health Trust rather than Highmark Inc. Electronic Remittance Advices (ERAs) will be distributed …

Category:  Health Go Health

You May Be Asked to Submit Member Charts for Retrospective …

WEBIn coming weeks, you may be asked to submit individual member medical records to Highmark for review to comply with Centers for Medicare & Medicaid Services (CMS) …

Category:  Medical Go Health

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