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Welcome to the new Provider Resource Center!

This site currently only contains a portion of the PRC; its content will expand over time.

Please continue to use the current PRC when doing business with Highmark and viewing the Provider Manual.

This is not the final version, and your feedback is crucial as we refine the site. Please share your feedback through the "Give Feedback" tab. Thank you for your help as we improve your resource center. 

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Welcome to the Highmark Provider Resource Center

Join our network - get credentialed to serve our members.

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Latest at Provider Resource Center

Medical Policy Update

This monthly newsletter informs health care providers who participate in our networks and submit claims to Highmark using the appropriate HIPAA transactions.

Special Bulletins

Refer to these important communications to stay informed on the latest updates and changes impacting your practice. 
 

Portal Message Library

This page is an archive of all past important messages posted in the provider portal.

find archived Messages hereAuthentication Required

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Explore Provider Resource Center

Availity

Use Availity to validate eligibility and benefits, check claim status, request authorizations, and more.

VISIT AVAILITYAuthentication Required

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Clinical Services

Still have questions? Call us: 8:30 a.m. to 7 p.m. Monday through Friday, 8:30 a.m. to 4:30 p.m. Saturday and Sunday.

About Highmark

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Related Sites

®Blue Shield and the Blue Shield symbols are registered marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies.

The following entities serve central and southeastern Pennsylvania and are independent licensees of the Blue Cross Blue Shield Association: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company.

All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration and/or to one or more of its affiliated Blue companies