Get Part And Labor Reimbursement Authorization Form (pal) - Highmark

Providers in need of assistance should contact provider services at 800-241-5704 (toll-free).

You will continue to submit claims as you are currently doing now using Payer id 25169 for Medicaid and 60550 for Medicare through your clearinghouse.

NEW YORK STATE EXPANSION- CARDIOLOGY and RADIOLOGY- eviCore healthcare is pleased to announce Highmark will be expanding our partnership to include Radiology and Cardiology prior authorization management of the New York Commercial market.

Provider Appeals Send us a request by fax to: All Providers: 1-844-207-0334. Mail in a request to: Non-Participating Medicare Provider, and any Pre-Service Appeals: Highmark Wholecare. Attn: Claims Review. 444 Liberty Avenue, Suite 2100. Pittsburgh, PA 15222.

Correct claims address means the address appearing on an enrollee's or insured's current identification card issued by the health insurance issuer as the current address at which claims are received, or, if no address appears on the identification card, the current address for receipt of claims provided by the health ...

Must be a Pennsylvania resident for at least 90 days before applying. Must be age 19 through 64. Must be a U.S. citizen, a permanent legal alien or a refugee as determined by the U.S. Immigration and Naturalization Service.

Return the completed Claim Form to: Highmark Blue Cross Blue Shield, the Claims Administrator for the medical component of the Plan, at the following address: Highmark Blue Cross Blue Shield P. O. Box 1210 Pittsburgh, PA 15230-1210 • Attach: all original itemized bills to the claim form.

Return the completed Claim Form to: Highmark Blue Cross Blue Shield, the Claims Administrator for the medical component of the Plan, at the following address: Highmark Blue Cross Blue Shield P. O. Box 1210 Pittsburgh, PA 15230-1210 • Attach: all original itemized bills to the claim form.

A prior authorization (PA), sometimes referred to as a “pre-authorization,” is a requirement from your health insurance company that your doctor obtain approval from your plan before it will cover the costs of a specific medicine, medical device or procedure.

For Traditional Indemnity, PremierBlue Shield, BlueChip Indemnity, BlueCard PPO, and Federal Employee Program PPO send claims to Highmark Blue Shield P.O. Box 890062 Camp Hill, PA 17089-0062 Page 3 OCTOBER, 2008 Claim Filing Addresses, continued Western Region Only If Type Of Claim Is… Then Mail To… For BlueCard POS ...

For more information about your coverage, or to get a copy of the complete terms of coverage, please visit .highmarkbcbs.com or call 1-866-283-4995.

Providers in need of assistance should contact provider services at 800-241-5704 (toll-free).

You will continue to submit claims as you are currently doing now using Payer id 25169 for Medicaid and 60550 for Medicare through your clearinghouse.

NEW YORK STATE EXPANSION- CARDIOLOGY and RADIOLOGY- eviCore healthcare is pleased to announce Highmark will be expanding our partnership to include Radiology and Cardiology prior authorization management of the New York Commercial market.

Provider Appeals Send us a request by fax to: All Providers: 1-844-207-0334. Mail in a request to: Non-Participating Medicare Provider, and any Pre-Service Appeals: Highmark Wholecare. Attn: Claims Review. 444 Liberty Avenue, Suite 2100. Pittsburgh, PA 15222.

Correct claims address means the address appearing on an enrollee's or insured's current identification card issued by the health insurance issuer as the current address at which claims are received, or, if no address appears on the identification card, the current address for receipt of claims provided by the health ...

Must be a Pennsylvania resident for at least 90 days before applying. Must be age 19 through 64. Must be a U.S. citizen, a permanent legal alien or a refugee as determined by the U.S. Immigration and Naturalization Service.

Return the completed Claim Form to: Highmark Blue Cross Blue Shield, the Claims Administrator for the medical component of the Plan, at the following address: Highmark Blue Cross Blue Shield P. O. Box 1210 Pittsburgh, PA 15230-1210 • Attach: all original itemized bills to the claim form.

Return the completed Claim Form to: Highmark Blue Cross Blue Shield, the Claims Administrator for the medical component of the Plan, at the following address: Highmark Blue Cross Blue Shield P. O. Box 1210 Pittsburgh, PA 15230-1210 • Attach: all original itemized bills to the claim form.

A prior authorization (PA), sometimes referred to as a “pre-authorization,” is a requirement from your health insurance company that your doctor obtain approval from your plan before it will cover the costs of a specific medicine, medical device or procedure.

For Traditional Indemnity, PremierBlue Shield, BlueChip Indemnity, BlueCard PPO, and Federal Employee Program PPO send claims to Highmark Blue Shield P.O. Box 890062 Camp Hill, PA 17089-0062 Page 3 OCTOBER, 2008 Claim Filing Addresses, continued Western Region Only If Type Of Claim Is… Then Mail To… For BlueCard POS ...

For more information about your coverage, or to get a copy of the complete terms of coverage, please visit .highmarkbcbs.com or call 1-866-283-4995.