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Please carefully read and follow the instructions contained within the individual form for submission. Highmark no longer requires a copy of the Medicare Welcome Letter for proof of Medicare eligibility for professional credentialing. Electronic Forms are submitted directly to Highmark via this website. Please feel free to take the time to research these items and input the responses as the form will not time out.

This form has been created for in-network provider use in order to comply with the No Surprises Act that was signed into law in December Changes to these elements will not be accepted via any other electronic form. 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. 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. Questions about authorization workflows. Check status of submitted authorizations.

Site Map Legal Information. NaviNet Portal. Authorization Workflows. Authorization Status.