Claims & Authorization
Fast Claims. Easy Authorizations. Clear guidance simplified for you.
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
Explore our reimbursement policies, programs, and resources to ensure accurate claims and timely payments.
Reimbursement Programs
Learn more about Highmark's reimbursement programs and policies.
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Reimbursement Resources
Get guidance on pricing, billing, fee schedules, and more with a variety of helpful tools and resources.
Prior Authorization
Dig into our tools and tips featuring detailed workflows and latest policy information.
Authorization Guidance
Get clear, organized insights to streamline your authorization process.
Medical Policies
Our evidence-based policies reflect the latest clinical research ensuring safe, effective appropriate coverage.
Additional Guidance
If you are unable to find the information you need, refer to our Provider Manual to understand our Claims and Authorization processes in detail.
Provider Service Center
Can't find an answer? Call us: 8 a.m. to 5 p.m. ET, Monday through Friday.
Clinical Services
Still have questions? Call us: 8 a.m. to 5 p.m. ET, Monday through Friday.
