http://www.gatewayhealth.com/providers WebHighmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware.
Facility Billing Reference Manual - Highmark Blue Shield
Webattending provider name and identifiers 76 billing provider name, address and telephone number 01 code - code field 81 condition codes 18 - 28 diagnosis and procedure code qualifier (icd version indicator) 66 discharge hour 16 document control number (dcn) 64 a, b, c employer name (of the insured) 65 a, b, c estimated amount due - payer 55 a, b, c WebProvider Manual and Resources Provider Manual and Resources Download the Current Provider Manual Resources Find Out If a Service Requires Prior Authorization Use the … class 10 history map nationalism in india
HIGHMARK WHOLECARE ANNOUNCES 2024 MEDICARE DUAL …
WebFor anything else, call 1-800-241-5704 (TTY/TDD: 711) Monday through Friday 8:00 a.m. to 5:00 p.m. EST Have your Member ID card handy. Providers Do not use this mailing address or form for provider inquiries. Providers in need of assistance should contact provider services at 800-241-5704 (toll-free). Reporting Fraud WebOct 17, 2024 · Highmark Wholecare serves Medicare Dual Special Needs plans (D-SNP) to Blue Shield members in 14 counties in northeastern Pennsylvania, 12 counties in central Pennsylvania, 5 counties in southeastern Pennsylvania, and to Blue Cross Blue Shield members in 27 counties in western Pennsylvania. Frequently Asked Questions Web7 HIGHMARK PROVIDER MANUAL Chapter 6.8 Page Billing & Payment: Payment Review 6.8 TECHNIQUES USED FOR INVESTIGATION Overview In the payment review process, … class 10 history chapters