Updated Language for Provider Report Letters

In an ongoing effort to align all itemized bill audit appeals, Highmark will update the appeal language on the Equian prepay itemized bill Provider Report letters. The updated language will mirror the current information in the Highmark Provider Manual.

All providers will now have one level of appeal with Equian and a second level appeal with an Independent Review Organization (IRO). Additional details can be found in the Highmark Provider Manual, Chapter 5 Unit 5: Denials, Grievances & Appeals.