Staying Up to Date with the Highmark Provider Manual

Ensure you are regularly reviewing the Highmark Provider Manual for our most recent guidance on:

  • Participation Rules
  • Credentialing/Recredentialing Criteria and Procedures
  • Medical Record Criteria
  • Requirements for 24/7 Coverage

Some recent noteworthy changes include:
  • Chapter 2, Unit 5: Telemedicine Services
  • Chapter 3, Unit 1: PROMISe Enrollment Required for Pennsylvania CHIP
  • Chapter 3, Unit 1: Network Participation Overview
  • Chapter 3, Unit 2: Professional Provider Credentialing
  • Chapter 3, Unit 2: Highmark Network Credentialing Policy

To see the full list of recent changes, visit the Highmark Provider Manual Changes page. page.