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Welcome Employers Producers Providers. Pharmacy Find a Pharmacy Pharmacy Programs. Forms Form Finder. Sign Up or Login. Welcome to Your Health Plan Learn about your new benefits and how to start using them. Get Started. Pay My Bill Pay Now. Pharmacy Coverage. Learn More. Dental and Vision. The health of your eyes and teeth can affect your overall health. Review Plans. More Insurance Products. Planning means expecting the unexpected. More Offerings.

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Telephone: For inquiries that cannot be handled via NaviNet, call the appropriate Clinical Services number , which can be found here.

Highmark contracts with WholeHealth Networks, Inc. Additional information about the programs and links to prior authorization codes are available under Care Management Programs in the left website menu. Authorization number not appearing, unable to locate member, questions about clinical criteria screen.

Contact Us. Provider Directory. 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.

Quick Links: Manuals. Highmark Provider Manual. Medical Policy Medical Policy. Medical Policies. Medicare Advantage Medical Policies. Requiring Authorization. Pharmacy Policy Search. Message Center. Manuals Highmark Provider Manual. Authorization Requirements. Inpatient admissions e.

Inpatient Authorization Guide : Click here for the Predictal step-by-step inpatient authorizations reference guide. Outpatient Authorization Guide : Click here for the Predictal step-by-step outpatient authorizations reference guide. Provided below are selections with information that can assist your office with questions you may have about the BlueCard Program. The member's home plan may request Highmark obtain medical records from you. The request will come to you in the form of a letter.

Highmark will mail the letter to address on your Highmark file unless you have provided us with an alternate address to send records on a past request. Contact Us. Provider Directory. 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.

Quick Links: Manuals. Highmark Provider Manual. Medical Policy Medical Policy.