Important: Highmark BlueCard Executive for Provider MDL Settlement Class

What is the BlueCard Executive?

The BlueCard Executive is a designated senior-level individual at Highmark who is accountable for resolving escalated issues regarding certain BlueCard claim payments. All other BlueCard issues must be addressed using existing dispute and/or appeals processes first.

Providers serviced by Highmark can request eligible escalations to Michael J. Edbauer, DO, MBA, SVP, Markets, by emailing BlueCardExecutive@highmark.com.  Only members of the Provider MDL Settlement Class can engage the BlueCard Executive.

What claims can be escalated to the BlueCard Executive without first pursuing existing dispute and appeals processes?

BlueCard Executives can receive escalations for claims that meet the following criteria:

• Open BlueCard claims aged forty-five calendar days or more from the submission date and billed charges of $1 million or more
• Open BlueCard claims aged sixty calendar days or more from the submission date and  billed charges of $500,000 or more
• Open BlueCard claims aged ninety calendar days or more from the submission date and billed charges of $300,000 or more

How do I contact the BlueCard Executive?

You can contact your local Blue Plan’s BlueCard Executive by emailing BlueCardExecutive@highmark.com.

If the claim in question requires information or assistance from another Blue Plan, your BlueCard Executive will coordinate with the other Plan to resolve the inquiry.

For additional information on the settlement, visit www.bcbsprovidersettlement.com.