Claims and Authorization
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Claims & Authorization

Understand Highmark's authorization requirements, get guidance on reimbursement policies and programs, and find helpful resources and tips.

Authorization Guidance

Get the information and resources you need in order to quickly and efficiently submit, update, and inquire about authorization requests.

Authorization GuidanceAuthentication Required

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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.

Additional Help

If you are unable to find the information you need or want to understand our Claims and Authorization process in detail, refer our Provider Manual.

Read Provider ManualAuthentication Required

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Reimbursement Resources

Get guidance on pricing, billing, fee schedules and more with a variety of helpful tools and resources.

About Highmark

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®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