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Provider Orientation

WELCOME TO HIGHMARK BLUE SHIELD OF NORTHEASTERN NEW YORK!

If you are a newly contracted provider, or a new employee of a network provider's office or facility, we would like to introduce you to the many resources we make available to help you in your interactions with Highmark Blue Shield of Northeastern New York (Highmark BSNENY) and our members. 

Let's begin with some background on Highmark to help you get to know us:

And now to get started working with Highmark BSNENY, here is what you need to know: 

 

Preventive Health Guidelines

Highmark continually strives to enhance the quality of care and service to our members. One of the ways this is accomplished is via the Highmark Preventive Health Guidelines. The guidelines are reviewed annually and updated to ensure they remain current with national guidelines, as well as with national, regional and local standards of medical care. The guidelines are distributed to the practitioner community as a reference tool to encourage and assist you in planning your patients’ care. Coverage of the preventive/wellness benefits are subject to the terms of the member’s benefit plan.

To help make the information more accessible and convenient for you, the complete set of Preventive Health Guidelines are available here on the Provider Resource Center under EDUCATION/MANUALS. 

Thank you for your support and for providing high-quality care to our members, your patients. Welcome to Highmark Blue Shield of Northeastern New York - we look forward to working with you!

Note: If you are not yet contracted with Highmark and are interested in participating in our provider networks, you can start by selecting CREDENTIALING from the main menu on the left.

Last updated on 6/21/2023 4:26:03 PM

 

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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 central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Highmark Western and Northeastern New York Inc., serves eight counties in Western New York under the trade name Highmark Blue Cross Blue Shield of Western New York and serves 13 counties in Northeastern New York under the trade name Highmark Blue Shield of Northeastern New York. Each of these companies is an independent licensee of the Blue Cross Blue Shield Association. Blue Cross, Blue Shield and the Blue Cross and Blue Shield symbols are registered marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration.