WebDuring the year, Highmark adjusts the List of Procedures and Durable Medical Equipment (DME) Requiring Authorization. For information regarding authorizations required for a member’s specific benefit plan, providers may: Call the number on the back of the member’s card, Check the member’s eligibility and benefits via NaviNet ® , or ... WebHighmark's mission is to be the leading health and wellness company in the communities we serve. Our vision is to ensure that all members of the community have access to affordable

Prior Authorization Requests Blue Cross and Blue Shield of Texas - BCBSTX

http://highmarkblueshield.com/ WebIntroduction Background Highmark implemented a radiology management program to promote quality and patient safety of advanced, nonemergency- room, outpatient imaging services for its group customers and members. Highmark retained the … law admission test online apply

Provider Resource Center

WebPrior authorization list. The “Prior authorization list” is a list of designated medical and surgical services and select prescription Drugs that require prior authorization under the medical benefit. The list below includes specific equipment, services, drugs, and procedures requiring review and/or supplemental documentation prior to ... WebFeb 24, 2024 · BCBS prefix List plays a vital role in filing the health care claims properly to the correct BCBS address and also to verify member’s eligibility, health insurance coverage information and to reach the correct BCBS department to check the claim status or disputes of the claim. BCBS Prefix List Alpha & Alpha Numeric : WebCheck our Preferred Drug List Services billed with the following revenue codes always require precertification: 0632 Pharmacy multiple sources Nonparticipating providers All services you render require precertification. Fax: 1-800-964-3627 Call: 1-866-231-0847 Related information Precertification lookup tool Precertification lookup tool k8s nginx reverse proxy