Highmark West Virginia has established a Provider Advisory Committee (PAC) to afford providers a mechanism to offer recommendations and comments to the Plan on provider billing, coding, and administrative issues. Buffalo, NY 14202-2657, Mailing Address: Highmark Blue Cross Blue Shield Delaware P.O. This information will be used for purposes of performing services to, or on behalf of, our enterprise customers and prospective customers as part of and in relation to matters regarding our provider, health plan, and subsidiary enterprise care delivery, administration and operations. How to Use This Manual Quick Reference Service Area Map 1.2 West Virginia Claims Filing Addresses 1.2 Delaware Claims Filing Addresses 1.2 PA Central, Eastern, & Northeastern Regions Claims Filing Addresses 1.2 PA Western Region Claims Filing Addresses 1.2 Highmark West Virginia Contact Information for Providers 1.2 Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. You also explicitly consent to the automated decision making by us, which may include the processing of your health data, to the extent that it is necessary to process your health claim swiftly and efficiently. At Highmark Blue Cross Blue Shield of Western New York, we've built our legacy around empowering our communities and helping you be your very best you. Highmark Health Options Box 106004 Step 1. Charleston, WV 25325
Go to Highmark Bcbs Log In website using the links below Step 2. Box 890062 Camp Hill, PA 17089 -0062 ; Highmark Blue Shield Indemnity - Major Medical. Highmark Blue Shield of Northeastern New York. Highmark Blue Shield Attn: FEP Claims P.O. Contact with questions regarding provider disputes, appeals, claims, prior authorizations, and more. Box 1353
Location Address 11 1 8 Claim Overpayment Refunds Highmark Your Health Care Partner April 23rd, 2019 - Highmark Inc is a national diversified health care partner serving . Your Personal Data will be disclosed to appropriate personnel for purposes of performing services to, or on behalf of, our enterprise customers and prospective customers as part of and in relation to matters regarding our provider, health plan, and subsidiary enterprise care delivery, administration and operations. Highmark Provider Manual - Highmark Blue Cross Blue Shield Claims Addresses Created Date: 3/16/2018 7:15:34 AM . Interested providers may attend PAC meetings either in person or via conference call. April 19th, 2019 - Highmark Blue Cross Blue Shield WV P O Box 7026 Wheeling WV 26003 Medicare Advantage PPO Providers mail to Highmark Blue Cross Blue Shield WV Federal Claims. . Box 226 Pittsburgh, PA 15230 Please include your group and ID number when you write. Claims and Payment Policies. Please be sure to include your own contact information in case Highmark West Virginia or the PAC need to contact you for additional information. !p?'Sxw
YtqwLiiu2{rv': These services providers are located in the United States. Buffalo, New York 14240-0080, Highmark Blue Cross Blue Shield of Western New York, Provider Relations & Contracting Department, 257 West Genesee Street 11=oce; 22=O/P Hospital) 39. Box 898845 Camp Hill, PA 17089 -8845 Children 's Health Insurance Plan (CHIP) PPO Plus . Highmark Health Options Member Services is available MondayFriday, 8 a.m.8 p.m. Phone: (304) 347-7681. Enclosures (Y or N) (Use "Place of Service Codes for Professional Claims") 52. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. These service providers will be bound by sufficient guarantees to implement appropriate technical and organizational measures in such a matter that their processing will meet the requirements of applicable law. t`
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Security Blue HMO-POS. January 2022 Payer ID provider number reference Professional . Supporting the health of Western New York. Pittsburgh, PA 15253-9801. Buffalo, New York 14240-0080, HealthNow New York HealthNow New York ATTN: FEP Department PO Box 80 Buffalo, New York 14240-0080. Forgot Password, Monday - Friday: 8 a.m. - 12 p.m., 1 p.m. - 5 p.m. Highmark (Pennsylvania and Delaware) P.O. or . Box 890062 Camp Hill, PA 17089-0062 Highmark Blue Shield Indemnity Major Medical Highmark Major Medical P.O. Signature 65 . P.O. ATENCIN:Si usted habla espaol, servicios de asistencia lingstica, de forma gratuita, estn disponibles para usted. You or your representative may extend the timeframe for making the appeal decision for up to 14 days. Highmark Health Options processes medical expenses upon receipt of a correctly completed CMS-1500 form for professional services and upon receipt of a correctly completed UB-04 form for hospital or facility expenses. Camp Hill, PA 17089-0419. Highmark Blue Shield Medical -Surgical Claims : Claims Processing P.O. Highmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, an association of independent Blue Cross Blue Shield Plans. Box 898845 Camp Hill, PA 17089-8845 MedigapBlue (i) when required or permitted by law or government agencies. To speak to a NaviNet Customer Care Representative directly, please call during the hours listed above at 1-888-482-8057. If you have a question about your coverage or how to enroll, check the member handbook.. Provider Correspondence. Step 1. If your office is not NaviNet-enabled and you would like more information on electronic claims , please contactHighmark Provider Services. After that, all Personal Data will be deleted or the documents with such data will be anonymized. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Go to Highmark Blue Cross Blue Shield Account website using the links below Step 2. Highmark Blue Shield was formed in 1996 when Blue Cross of Western Pennsylvania and Pennsylvania Blue Shield were consolidated into the current company. At least three members will be selected from nominations submitted by the West Virginia State Medical Association. About Us. Step 1. Only Providers who have claims linked to Letters can login. Enter your Username and Password and click on Log In Step 3. Highmark Blue Shield P.O. Enter your Username and Password and click on Log In Step 3. Highmark Blue Shield also provides services in conjunction with Blue Cross of Northeastern Pennsylvania in northeastern . Highmark Blue Shield P.O. Online contacts Provider Relations - provrel@highmarkbcbsde.com Highmark Blue Cross Blue Shield West Virginia
Box 8830 : Wilmington, DE . Provider Information Management forms are used to maintain provider accounts as well as begin the process to join Highmark's networks for new practitioners and offices. Box 660044 Dallas, TX 75266-0044: Claim review submission address. Pou asistans nan kreyl ayisyen rele 1-844-325-6251. hYnF}LP% 8#y`$b#E'v3K"iQ}15p0`0d"dsf^$FKaBs7 @kIqdFOLQS#$SbwBawj,Rc2I8f&?EC 3"0=rK3hdu49==?cFV71w4Mcpt[avl9_`0/jZ04Q>'GQ[Qd:|0$b-wg@! 1-800-950-0051, Monday - Friday: 8 a.m. - 12 p.m., 1 p.m. - 5 p.m. Box 535049. Visit a Location Near You! Fax: 716-887-7913, Highmark Blue Cross Blue Shield of Western New York Camp Hill, PA 17089-0402, Highmark Health Options 520 0 obj
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Highmark Frequently Used Contact Information OASIS Eligibility, benefits and status of claims: call 1-800-462-7474, or in the Harrisburg area, 1-717-302-5125 on your touch-tone telephone. If you are not satisfied with our data processing you have the right to lodge a complaint to the data protection authority in your country of residence. Pittsburgh, PA 15230-1068. Hours of operation are 8:00 a.m. to 4:30 p.m. EST. To speak with a Medicare Advisor, please call: 1-844-593-0265 Request a Call Have a Highmark Medicare Advisor call you to answer your specific Medicare questions, provide an expert evaluation of your current situation and advise you on selecting the right plan. Our vision is to ensure that all members of the community have access to affordable %PDF-1.5
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Mailing Address: Highmark Blue Cross Blue Shield of Western New York P.O. 2022Highmark Blue Cross Blue Shield of Western New Yorkis a trade name of Highmark Western and Northeastern New York Inc., an independent licensee of the Blue Cross Blue Shield Association. Comprehensive Major Medical Highmark Blue Shield P.O. For TDD/TTY services, please call 1-800-480-1419. Box 890419 We do so by offering health plans that provide reliable coverage to Western New Yorkers and by supporting the organizations and individuals who work . Highmark Blue Cross Blue Shield of Western New York 1-877-327-1395, Provider Relations & Contracting/Network Management, 716-887-2054 For questions about our Harrisburg location, please email us at HarrisburgConnectionCenter@HighmarkWholecare.com or call 717-510-7600 (TTY 711). If there are any problems, here are some of our suggestions Top Results For Highmark Blue Cross Blue Shield Account Updated 1 hour ago www.highmarkbcbs.com Login - highmarkbcbs.com medicare highmark bcbs refund address, forms and documentation providers blue cross nc, provider information blue cross blue shield of texas, local blue cross . For the best performance and security, always keep . Box 8831 Wilmington, DE 19899-8831 BENEFITS WILL BE ADMINISTERED IN ACCORDANCE WITH THE TERMS OF YOUR BENEFIT PLAN. Forgot Username Address, City, State, Zip Code 56a. Careers. PO Box 80 Highmark Blue Cross Blue Shield of Western New York. If you suspect fraud, contact Highmark's Financial Investigations and Provider Review (FIPR) Department. Also, you can contact with customer support and ask them for help. Contact Us; My Location; Login; Customer Service 1 (800) 241-5704 COVID-19 RESOURCES About Highmark Non Discrimination Policy; Procurement; Electronic Data Interchange . Highmark Blue Cross Blue Shield. Don't miss. Please be sure to include your own contact information in case Highmark West Virginia or the PAC need to contact you for additional information. Addiction and Substance Use Disorder Resource Center. P.O. Additional Provider ID 52a. Highmark Blue Cross Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association ENR-317 (R8-18) . 7. Highmark Blue Shield serves the 21 counties of . Notes: This consent is given voluntarily and can be revoked at any time in writing by sending an email to PrivacyInternational@HighmarkHealth.org If you want to exert your withdrawal right or your rights to access, rectify, block, transfer or delete your personal data pursuant to the GDPR, please contact us and provide us at least with your full name, address and the data processing you are inquiring about. 6) Who may I contact at Highmark Blue Cross Blue Shield Delaware (Highmark Delaware) for additional assistance? License Number 51. Fax: 716-887-7594, 716-884-2942 P.O. Providers in need of assistance should contact provider services at 800-241-5704 (toll-free). Claims Review 48. Buffalo, New York 14202, Toll Free: (800) 544-BLUE (2583) Your Personal Data will remain on file for: any period required by applicable law; and, to the extent necessary for any purpose(s) provided directly or indirectly herein or as may be reasonably inferred from the content contained in this notice or the website, but no longer than permitted by applicable law. If you have questions regarding how we process your Personal Data and what we store about you, please contact PrivacyInternational@HighmarkHealth.org or write us: By agreeing to the terms and conditions set out in this Data Protection Statement, and by providing us with your Personal Data, you consent to the collection, use and disclosure of any information you provide in accordance with the above purposes and this Data Protection Statement. ATTN: FEP Department Highmark Blue Shield of Northeastern New York and Highmark Blue Cross Blue Shield of Western New York are trade names of Highmark Western New York and Northeastern New York Inc. LoginAsk is here to help you access Highmark Bcbs Hsa Login quickly and handle each specific case you encounter. Claim Filing Addresses - Central, Eastern and Northeastern Regions Only Claim Submission Postal Addresses, . claim review form blue cross blue shield of texas, provider refund check www11 anthem com, forms providers bluecare tennessee, highmark blue cross blue shield . Call 1-800-996-9969 or visit Delaware ASSIST to enroll. We will retain the information in our system in accordance with applicable law and our Data Protection Policy:https://www.highmark.com/hmk2/gdpr.shtml. ATANSYON: Si ou pale kreyl ayisyen, svis asistans lang, gratis, disponib pou ou. Provider Number. Highmark will no . If a provider must file a paper claim, mail claim to Blue Cross and Blue Shield of Texas P.O. How can I reach Customer Service by U.S. Mail? However, if it becomes necessary for the Committee to discuss personally identifiable health information or proprietary information, all non-PAC members except Highmark West Virginia employees will be excused from the meeting prior to the discussion of such information, in order to comply with federal and state privacy requirements or to protect proprietary information of the Plan. (Please complete form using black or blue ink.) Highmark West Virginia may also seek input from the PAC on proposed new initiatives or changes to existing programs that may affect providers. Name, Address, City, State, Zip Code 56. hbbd```b``S@$A^+A$ d"Y~`;"7i)f[u)Hh"'` 467 0 obj
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The purpose of this Data Protection Statement is to notify you of the practices that will govern the processing of your personal data and to obtain your explicit consent for the processing of your personal data consistent with it, in particular in accordance with the legal requirements of the European Unions (EU) General Data Protection Regulation (GDPR): The personal data collected may include your address, city, postal code, country, phone number, email address, IP address, as well as any other personal information you choose to provide (Personal Data). 6. (iii) for purposes relevant to corporate policies or litigation to the extent permitted under applicable law or when it is prescribed in GDPR or other applicable law. endstream
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Go to Highmark Bcbs Log In website using the links below Step 2. To reach Highmark Blue Shield Customer Service by telephone, call 1-800-345-3806. Rev. Government Programs Claims and Correspondence. Contact with questions regarding provider disputes, appeals, claims, prior authorizations, and more. If you don't remember you personal data, use button "Forgot Password". Box 890173 Camp Hill, PA 17089 -0173 All other medical -surgical claims (including . Furthermore, you can find the "Troubleshooting Login Issues" section which can answer your unresolved problems and equip you with . Please submit claim reimbursement for each patient on a separate claim form. Highmark Blue Cross Blue Shield Delaware P.O. 4 . (9Mt'h|.Ey\Qr5pZDd. !0 3)$|\C Buffalo, NY 14240-0080. NaviNet is the fastest way to submit claims to Highmark. Para asistencia en espaol llame al1-844-325-6251. SSN or TIN Specialty Code 38. Refer to the latest provider manual for details. 1-800-677-3086 The PAC will not address individual provider billing disputes or Highmark West Virginia medical policies, reimbursement levels, eligibility, or coverage rules. Let me give you a short tutorial. The PAC may also serve as a forum to discuss regional or national issues regarding interactions among providers, their patients and health plans. 4. PO Box 80 Mail completed claim form to: Vision Care Processing Unit, P.O. Box 890402 1. Members will represent different specialties and geographic areas, and include provider representatives who deal directly will billing, coding, and plan administrative issues. Monday - Friday: 8:00 a.m. - 7:00 p.m. Notwithstanding the above disclosures, we will disclose the Personal Data we collect from you under the following circumstances: We use third-party service providers to process Personal Data, including, without limitation, for information storage and other similar purposes. Current Members Call: 1-800-345-7808 (TTY/TDD users call: 1-800-345-3816) . Box 898819 Camp Hill, PA 17089 -8819 Medigap . Box 890393 Camp Hill, PA 17089-0393 Signature 65 Highmark Blue Shield P.O. Box 890419 Camp Hill, PA 17089-0419 Provider Contact Call Provider Services at Highmark Health Options at 1-844-325-6251, Monday-Friday, 8 a.m.-5 p.m. Box 80 Buffalo, NY 14240-0080. Even when you're not sick, we'll help with your wellness goals. Precertification Inquiries In the Western Region Only, please call: Healthcare Management Services via the Provider Line at Note: Providers are reminded not to send Highmark a check for a refund of a claim overpayment. 2022 Highmark Health Options. Highmark Blue Cross Blue Shield of Western New York PO Box 80 Buffalo, NY 14240-0080. . Highmark Bcbs Hsa Login will sometimes glitch and take you a long time to try different solutions. Enter your Username and Password and click on Log In Step 3. Our mailing address is: Highmark Fifth Avenue Place 120 Fifth Avenue If there are any problems, here are some of our suggestions Top Results For Highmark Bcbs Log In Updated 1 hour ago www.highmarkbcbsde.com Highmark Visit site www.highmarkblueshield.com Highmark Blue Shield Blue Cross and Blue Shield of Texas P.O. Highmark's mission is to be the leading health and wellness company in the communities we serve. Corporate Address: Highmark Blue Cross Blue Shield of Western New York 257 West Genesee Street Buffalo, NY 14202-2657 . Midtown Harrisburg 1426 N. MEDICARE CLAIMS ANCILLARY CLAIMS FILING MANDATE OUT-OF-AREA POLICY SEARCH TOOLS & RESOURCES TOOLS & RESOURCES child pages; TOOLS & RESOURCES parent page . Highmark Blue Cross Blue Shield This site works best if viewed with the latest version of Internet Explorer, Firefox, Chrome, or Safari browsers. If there are any problems, here are some of our suggestions Top Results For Highmark Bcbs Log In Updated 1 hour ago www.highmarkbcbsde.com Highmark Visit site All reasonably appropriate measures will be taken to prevent disclosure of your Personal Data beyond the scope provided directly or indirectly herein or as may be reasonably inferred from the content contained in this notice or the website. Box 1353 Charleston, WV 25325 Email:pac@highmark.com Phone: (304) 347-7681. endstream
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Box 890062 Camp Hill, PA 17089 . Please note that the member's (or employee's or authorized person's) signature is required on this form. All at no cost. . 257 West Genesee Street
Refer to the latest provider manual for details. This may include exploring ways to improve health care delivery, clinical quality, cost-effectiveness of services, communication and cooperation. Plus, get coverage for vision care, dental care, hearing aids, and more. CUSTOMER'S NAME CUSTOMER'S ADDRESS q Check box for change of address Camp Hill, PA 17089-0173 SpecialCare Highmark Blue Shield Claims P.O. 0
Box 1068. . Click the "I need more help" tab on the right. A provider may submit an issue for consideration by the PAC by sending written comments, either by letter or email, to: Medical Director, c/o Manager of Operational QI
Practice information updates can be made with many of the forms below. Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Local: (716) 884-2800 Box 660044 Dallas, TX 75266-0044 Request for claim review form and instructions: Availity Essentials Authorizations & Referrals submissions The Blue Cross and Blue Shield symbols are registered marks of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans.Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia and Washington County, Ohio. At least a majority of PAC members will be participating providers in Highmark West Virginia's networks. Prefix . Highmark Blue Cross Blue Shield Delaware Allegheny Health Network Site Map Home Contact Us Contact Us Have questions or comments? Medicaid & Child Health Plus (CHP) Security | Privacy | Terms of Use | Notice of Non-Discrimination and Translation Assistance, Notice of Non-Discrimination and Translation Assistance. Delaware Claims Addresses . Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a . How can I get to a Customer Service walk-in site? Highmark Blue Cross Blue Shield P.O. Turn right on to Wertzville Road. N1^PR^HIGHMARK BLUE SHIELD N3^120 FIFTH AVENUE N4^PITTSBURGH^PA^15222 REF^NF^54771 PER^CX^^TE^8005551111 N1^PE^A HOSPITAL^FI^555555555 N3^1000 MAIN ST Use MapQuest. Please contact 1-855-544-7171 Monday through Friday, 9:00 a.m. to 9:00 p.m. . Paper claim forms must be submitted on original red claim forms. Pittsburgh, PA 15230, 800 Delaware Avenue, Wilmington, DE 19801. P]
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Get care for your physical and mental well-being, including prescription drug coveragefrom the doctors, hospitals, and pharmacies you need. Provider 49. Highmark Health Options Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Don't miss. Important Legal Information: Health care benefit programs are issued or administered by Highmark Blue Cross Blue Shield Delaware or Highmark Health Insurance Company, independent licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross Blue Shield plans. Current Members Call: 1-800-935-2583 (TTY/TDD users call: 711) 8:00 a.m. - 8:00 p.m. . If you suspect fraud, contact your local Financial Investigations & Provider Review Department within Highmark. CallProvider Services at Highmark Health Options at1-844-325-6251, MondayFriday, 8 a.m.5 p.m. CLAIMS FILING ADDRESSES - DELAWARE . The Claims Administrator/Insurer complies with applicable Federal civil rights laws and does not Please complete the form below. If your doctor would like to discuss your appeal with one of our doctors, they may call us at 1-844-325-6251 to speak with a medical director. Take I-81 N to the Wertzville Road exit. Provider Relations and Contracting Department. NPI 50. Place of Treatment (e.g. PO Box 80 Appeals and Grievances Highmark Blue Shield serves . Phone Number Highmark Health Fifth Avenue Place 120 Fifth Avenue Pittsburgh, PA 15222-3099 (412) 544-7000 Fields marked with an asterisk (*) are required. Highmark Blue Shield of Northeastern New York and Highmark Blue Cross Blue Shield of Western New York are trade names of Highmark Western New York and Northeastern New York Inc. P.O. Please carefully read and follow the instructions contained within the individual form for submission. All rights reserved. . East Liberty, Pittsburgh 6033 Broad Street Pittsburgh, PA 15206 Hours: Monday through Friday 8 a.m. - 4 p.m. For Medicare. Mailing Address. ?3(y&o-,wil0C8cx o. Read! hb``` eap&8[RTA2Ph#U pP%u
O Highmark is a registered mark of Highmark Inc. 2011 Highmark Inc., All Rights Reserved. Email:pac@highmark.com
Box 890173 Camp Hill, PA 17089-0173 For Behavioral Health Only: For Traditional Indemnity, PPOBlue, BlueCard PPO, and Federal Employee Program, send claims to: . 5. 1-800-666-4627 . Mailing address 1901 Market Street Philadelphia, PA 19103-1480 Email Complete the Provider Communications Email Sign-up Form to receive email updates with the latest information, including Partners in Health UpdateSM. P.O. Highmark Blue Shield Medical-Surgical claims (Including BlueCard PPO ): Highmark Blue Shield P.O. Saturday & Sunday: Closed, Corporate Address: Highmark Health Options P.O. Box 1525, Latham, NY 12110. Highmark Blue Cross Blue Shield West Virginia is an independent licensee of the Blue Cross Blue Shield Association, an association of Independent Blue Cross and Blue Shield Plans. Need our street address? Paper claim mailing address Billing provider ISA-08 GS-03 Keystone Health Plan East Independence QCG Keystone Health Plan East POS 54704 95056 SX055 . (ii) when required valid requests by law enforcement. P.O. Reporting Fraud Do not use this mailing address or form to report fraud. Any information we provide is limited to those plans we do offer in your area. Your email address and phone number may be used to contact you. *If you are aMedicaidorChild Health Plusmember, pleaselogin here. Highmark Blue Cross Blue Shield West Virginia P.O. Mailing Address: Highmark Blue Shield of Northeastern New York PO Box 15013 Albany, NY 12212. Box 890138 Camp Hill, PA 17001-9782 . .
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