Highmark

Provider EDI Reference Guide - Highmark

® Highmark is a registered mark of Highmark Inc. Provider EDI Reference Guide Highmark EDI Operations April 5, 2010

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Claim Filing Addresses - Highmark

OCTOBER, 2008 Claim Filing Addresses – Western Region Only Electronic Claim Submission NaviNetSM is the fastest way to submit claims to Highmark. If your office is not NaviNet enabled and you would like more information on electronic claims

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2016 Medicare Clinical Guidelines for Medical …

NIA Clinical Guidelines © 2016 Magellan Health, Inc. Proprietary Page 1 of 51 HIGHMARK

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Highmark Inc., d/b/a HIGHMARK BLUE SHIELD

BSMUHDHP1200-O 23081 (6/05) Page 1 of 28 Highmark Inc., d/b/a HIGHMARK BLUE SHIELD ( the Plan ) A Pennsylvania non-profit corporation whose

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Highmark Individual and Family Plan PPO Rates

Take the next step. Pick your plan. You’ve looked through the benefits Highmark offers in a PPO plan. Now the next thing to consider is your preferred deductible and the monthly rate you’ll pay for PPOBlueSM or DirectBlue®

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Highmark Blue Shield Medical Management and …

Revised 3.1.2015 Name of Requestor/Contact Person: _____ Patient’s Name: Patient Phone # Patient’s Address: Date of Birth: Member UMI: Suffix # …

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Highmark Blue Cross Blue Shield West Virginia …

614 Market Street P.O. Box 1948. Local 304/424-7700 . Toll Free 800/344-5514. Parkersburg, West Virginia 26102 . Writers Direct Dial Number

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Health Plan Name Toll Free No - RADMD | RADMD …

Health Plan Name Toll Free No Absolute Total Care 866-433-6041 Aetna Medicare 800-424-1727 Ambetter of Arkansas 877-617-0390 Ambetter from Buckeye Community Health Plan 877-687-1189

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PRESCRIPTION DRUG MEDICATION REQUEST FORM …

1. Submit a separate form for each medication. 2. Complete ALL information on the form. NOTE: The prescribing physician (PCP or Specialist) should, in most cases, complete the form. 3. Please provide the physician address as it is required for physician notification.

MEDICARE PARTS A, B, AND DMERC CONTRACTOR …

MEDICARE PARTS A, B, AND DMERC CONTRACTOR PAYER ID . Table 1 – Medicare Part A Contractor Payer IDs . Medicare

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