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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. Provider Information Management Forms. Electronic Forms Electronic Forms are submitted directly to Highmark via this website. Request for Assignment Account - Please use this form when you need to create a billing account for your practice.

Addition Request to Existing Assignment Account — Please use this form when needing to update practitioners affiliation to existing assignment account information. Contract Upload Form Please only use this form to send Highmark a contract. Other uploads will not be processed and not be returned. Please use this form to indicate your DEA status. Return from Leave of Absence Form Please complete this form when the provider is returning from a leave of absence. This will allow for the reinstatement of network participation.

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. Provider Information Management Forms. Electronic Forms Electronic Forms are submitted directly to Highmark via this website. Request for Assignment Account - Please use this form when you need to create a billing account for your practice. Addition Request to Existing Assignment Account — Please use this form when needing to update practitioners affiliation to existing assignment account information.

Contract Upload Form Please only use this form to send Highmark a contract. Other uploads will not be processed and not be returned. Please use this form to indicate your DEA status. Return from Leave of Absence Form Please complete this form when the provider is returning from a leave of absence.