Reimbursement Programs
Get detailed and up-to-date information on our reimbursement policies, and find out how you and your Highmark member patient population can benefit from our value-based programs.
Claims
Resources for seamless submission, real-time tracking, and faster payments.
Claim Status Inquiry
Go to Availity Essentials for claim status inquiries; offering real-time, detailed claim information.
Fee Schedule Information
Access current fee schedules for Highmark networks.
Electronic Claims
Find out how to submit and inquire about your claims.
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Registration on Portal
You must be registered with Availity Essentials, a secure portal, to submit claims electronically.
Submit Claims
Submit professional or facility claims seemlessly, and securely through the Availity Portal
Claim Inquiries
Here is a quick step-by-step guide to help you subit your required claim inquiries through the availity portal.
Essential Resources
Reimbursement Policies
Find complete reimbursement policies and documentation requirements you need to submit claims.
Reimbursement Resources
Get guidance on pricing, payment guidelines, fee schedules, and more.
Claim Disputes
Find the process to appeal payment decisions and dispute findings from claims and coding reviews.
Value-Based Reimbursement Program
Additional Guidance
Provider Service Center
Can't find an answer? Call us: 8 a.m. to 5 p.m. ET, Monday through Friday.
Clinical Services
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.
