A newsletter for Highmark Blue Shield providers in northeastern New York
Issue 8, August 2024
IN THIS ISSUE:
General News
Faxes Being Phased Out; Prior Auth Requests Must Be Submitted via Availity Effective Oct. 1
A New Centralized PRC for All Six Highmark Regions to Launch This Fall
Reimbursement Update: Daily Maximum to Increase for Most Therapy Services
Facility Providers: Highmark to Align HCRA Processes with NY State Recommendations
New Colon Cancer Test NOT on the Highmark Preventive Schedule
Provider Facing Analytics Platform: New Ways to Access Monthly Reports and Quality Data
Short Takes: Tips for Corrected Claims, Annual Fee Schedule, and More
Protect Your Youngest Patients: Why Two Flu Shots Are Better for Children 6 Months – 8 Years Old
Non-Participating Providers Required to Use Self-Service Tools for Claim Status and Claim Inquiry
New Social Determinants of Health (SDOH) Quality Guide
FEP Members Are Getting New ID Cards
Reimbursement, Claims & Billing
Reminder: Filing Contiguous County Claims for Highmark Members and Non-Highmark Members
New and Updated Reimbursement Policies
Authorization Updates: Out-of-Area Exceptions, MSK Bilateral Reminder, and Sept. 30 Changes
Administrative News
Directory Information – Here’s How to Attest
Staying Up to Date with the Highmark Provider Manual
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