Is Your PROMISe ID Up to Date?

Do you treat patients enrolled in the Highmark Healthy Kids CHIP* program?

If so, you must have an active Provider Reimbursement and Operations Management Information System Identification (PROMISe^™ ID) on file with the Pennsylvania Department of Human Services and Highmark. The information on file must include your provider type and each service location where you see Highmark Healthy Kids enrollees.

Highmark is required to deny claims if we are unable to match your National Provider Identifier (NPI) reported on the claim to a PROMISe enrollment record for the service location where the services were performed.

In addition, you are required to select a PROMISe ID-enrolled provider when submitting any authorization requests for referrals in Availity Essentials.

How to Check on the Status of Your PROMISe ID

Providers can check their PROMISe ID status through the PROMISe Internet Portal or by emailing promise@pa.gov.

*CHIP is an acronym for Children’s Health Insurance Program.