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The PRC offers resources to assist in the treatment of your Highmark patients, such as prior authorization requirements, credentialing information, medical policies, pharmacy information, and much more.
- Claims & Authorization
Claims & Authorization. Understand Highmark's authorization...
- Provider Network
Provider Network. Enhance your practice and access valuable...
- Claims & Authorization
Highmark Blue Cross Blue Shield West Virginia Provider Resource Center (West Virginia and Washington County, OH)
Access the Highmark Provider Web Portal to view and manage your audit status for hospital, laboratory, physician and ASC services. CGI Technologies and Solutions performs retrospective reviews for Highmark, a national health care partner and Blue Cross and Blue Shield affiliate.
Log in to access your Highmark Blue Cross Blue Shield account and manage your health care needs.
Log in to your Availity.com and select the Highmark BCBS Medicaid and Child Health Plus payer space. Then, select DPO. This will navigate to a digital drop box: In the organization drop down box, select Highmark BCBS, enter the TIN, and select the care provider you are submitting the certification for.
Claims & Authorization. Understand Highmark's authorization requirements, get guidance on reimbursement policies and programs, and find helpful resources and tips. Authorization Guidance. Get the information and resources you need in order to quickly and efficiently submit, update, and inquire about authorization requests.
Provider Network. Enhance your practice and access valuable tools and resources. Credentialing. Highmark is proud to offer this preferred method of credentialing to our providers. Join our network today for access to our timely updates and perks. Get Credentialed. Provider Resources. Provider Orientation.
