WebImportant Legal Information:: Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage, Highmark Benefits … WebReferrals and authorizations are processes used by health plans to coordinate and evaluate the medical care needs of its members. Highmark Blue Shield also has used the term “precertification” when referring to the authorization process.
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WebSep 30, 2016 · As of September 1, 2010 the Prior Notification component of Highmark's Radiology Management Program will require all physicians and clinical practitioners to … WebDec 11, 2024 · You can obtain prior authorizations for non-emergent, high-tech outpatient radiology services through NaviNet, our secure web-based provider portal. NaviNet is available to request and verify affected services, and check member eligibility, saving you the time and effort of faxing or making a phone call. crystal2
Managed Care Referrals and Authorizations ... - Highmark …
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. 5 Ear … WebNov 1, 2024 · Effective November 1, 2024, Highmark is expanding our prior authorization requirements for outpatient services to include those services provided by out-of-area providers participating with their local Blue Plan. WebRequiring Authorization Pharmacy Policy Search Message Center. Manuals . Highmark Provider Manual; Medical Policy Search; Medical Policy Search . Medical Policies ... Highmark 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 … crystal93