Highmark bcbs pa list

WebHome ... Live Chat WebThe List includes services such as: Potentially experimental, investigational, or cosmetic services. Select DME. Select injectable drugs covered under the your Medical plan (See …

Large - Highmark Blue Cross Blue Shield

WebPennsylvania Help Center: Important contact information for Independence Blue Cross, Highmark Inc. and Capital BlueCross. WebNov 1, 2024 · When Highmark makes this change, we will also be adding and removing specific codes from the list. Some of these codes were removed on November 1, 2024 while others will be removed on January 1, 2024. CODES TO BE REMOVED FROM THE PRIOR AUTHORIZATION LIST ON NOVEMBER 1, 2024 Effective November 1, 2024 inclusion\\u0027s 5n https://fkrohn.com

Provider Resource Center

Webprovider is in the Highmark network) Haemophilus Influenzae Type B (Hib) For adults with certain medical conditions to prevent meningitis, pneumonia, and other serious infections; this vaccine does not provide protection against the flu and does not replace the annual flu vaccine Hepatitis A At-risk or per doctor’s advice: One 2- or 3-dose series WebHighmark members using Blue Exchange ®, which is the Blue Cross and Blue Shield Association’s inter-Plan system for select HIPAA transactions. Other options include submitting a HIPAA 270/271 electronic eligibility inquiry or calling the BlueCard Eligibility line at 1-800-676-BLUE (2583). WebThey’ll find the right in-network doctor for you. Call Mon. – Fri. 8 a.m. – 8 p.m. Make your appointment during the call Transfer records to your new doctor 1-844-462-2551 Transferring your records is easy Sharing your … inclusion\\u0027s 5w

Medical Prior Authorizations & Approvals Wellmark

Category:Medical Prior Authorizations & Approvals Wellmark

Tags:Highmark bcbs pa list

Highmark bcbs pa list

Authorization Requirements - Highmark Blue Cross Blue Shield

WebUpdates to Highmark’s List of Procedures Requiring Authorization. During the year, Highmark adjusts the List of Procedures and Durable Medical Equipment (DME) Requiring … WebJul 1, 2024 · Highmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, an association of independent Blue Cross Blue Shield Plans. 6 …

Highmark bcbs pa list

Did you know?

WebObtaining Authorizations. Behavioral Health: 877-650-6112. Gastric Surgery/Therapy/Durable Medical Equipment/Outpatient Procedures: 888-236-6321. Home Health/Home Infusion … WebTo access an SBC, please choose a plan from the list above. You can also receive a paper copy of your SBC(s) free of charge upon request. ... For Highmark Blue Cross Blue Shield/KHPW Plans not purchased on the Health Insurance Marketplace please call 1-888-544-6679 to request a copy.

WebFeb 21, 2024 · Highmark is a nationally recognized industry leader in developing and implementing up-to-date, medically sound policy guidelines. There are many policy guidelines addressing medical technology, therapeutic procedures, medical equipment and supplies, and behavioral health. WebHighmark's mission is to be the leading health and wellness company in the communities we serve. Our vision is to ensure that all members of the community have access to …

WebHighmark Advanced Imaging and Cardiology Services Program Prior Authorization Quick Reference Guide Authorization Required . All outpatient, non-emergent, elective procedures, including: • Advanced Imaging: - Magnetic resonance imaging (MRI) - Magnetic resonance angiograms (MRAs) - Positron emission tomography (PET) scans WebImportant Legal Information: Highmark Blue Shield, Highmark Benefits Group, Highmark Choice Company, Highmark Senior Health Company, and/or Highmark Health Insurance Company provide health benefits and/or health benefit administration in the 21 counties of central Pennsylvania and 13 counties in northeast and north central Pennsylvania ...

WebJul 1, 2024 · Highmark Inc. or certain of its affiliated Blue companies also serve Blue Cross Blue Shield members in 29 counties in western Pennsylvania, 13 counties in northeastern …

WebHighmark 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. inclusion\\u0027s 5oWebHighmark 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 … inclusion\\u0027s 5zhttp://highmarkbcbs.com/ inclusion\\u0027s 62WebHighmark Inc. or certain of its affiliated Blue companies also serve Blue Cross Blue Shield members in 29 counties in western Pennsylvania, 13 counties in northeastern … inclusion\\u0027s 6Webwhich Highmark region your practice is assigned, please contact your Highmark Provider Relations representative. Central Region – shown in gray above: includes the 21 counties of central Pennsylvania and the Lehigh Valley. Northeastern Region – shown in yellow above: includes the 13 counties in northeastern Pennsylvania. inclusion\\u0027s 64http://highmarkbcbs.com/ inclusion\\u0027s 65Web2024 Custom Drug List This list is current as of 08/17/22 Trade Name Dosage Form Strength Tier Drug Description Azathioprine *generic equivalent of Azasan/Imuran tablet … inclusion\\u0027s 63