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Contact Us

For issues that cannot be resolved using our self-service tools, call us at the numbers below.

HMCS

Highmark Provider Service Centers

Please use Highmark’s provider portal, Availity®, for all of your routine eligibility, benefit, and claim inquiries. For non-routine inquiries that require analysis and/or research, contact Highmark’s Provider Service Center at the appropriate number for your region below.

  • cpa/ sepa

Central Pennsylvania /
Southeastern Pennsylvania

Central Region

Professional Providers 866-731-8080
Facility Providers 866-803-3708
Hours of Availability:
8:00 a.m. to 5 p.m. EST, Monday through Friday


Southeastern Region

All Provider Types 844-945-5525
Hours of Availability:
8:00 a.m. to 5 p.m. EST, Monday through Friday


Medicare Advantage

Freedom Blue PPO 866-588-6967
Community Blue Medicare HMO 888-234-5374
Community Blue Medicare PPO
866-588-6967
Hours of Availability:
8:00 a.m. to 5 p.m. EST, Monday through Friday
  • de

Delaware

All Provider Types 800-346-6262
Hours of Availability:
8:00 a.m. to 5 p.m. EST, Monday through Friday


Medicare Advantage

Freedom Blue PPO 800-346-6262
Hours of Availability:
8:00 a.m. to 5 p.m. EST, Monday through Friday
  • wny
  • neny

Western New York /
Northeastern New York

All Provider Types 800-950-0051
Hours of Availability:
8:00 a.m. to 12 p.m. and 1 p.m. to 5 p.m. EST, Monday through Friday


Medicare Advantage

Contact 800-950-0051
Hours of Availability:
8:00 a.m. to 12 p.m. and 1 p.m. to 5 p.m. EST, Monday through Friday
  • wpa/ nepa

Western Pennsylvania /
Northeastern Pennsylvania

Western Region

Professional Providers 800-547-3267
Facility Providers 800-242-0514
Hours of Availability:
8:00 a.m. to 5 p.m. EST, Monday through Friday


Northeastern Region

Professional Providers 866-731-8080
Facility Providers
866-803-3708
Hours of Availability:
8:00 a.m. to 5 p.m. EST, Monday through Friday


Medicare Advantage

Freedom Blue PPO 866-588-6967
Community Blue Medicare HMO 888-234-5374
Community Blue Medicare PPO
866-588-6967
Security Blue HMO (Western Region only)
866-517-8585
Hours of Availability:
8:00 a.m. to 5 p.m. EST, Monday through Friday
  • wv

West Virginia

All Provider Types 800-543-7822
Hours of Availability:
8:00 a.m. to 5 p.m. EST, Monday through Friday


Medicare Advantage

Highmark Senior Solutions Medicare Advantage
Freedom Blue PPO
888-459-4020
Hours of Availability:
8:00 a.m. to 5 p.m. EST, Monday through Friday

Additional contact information can be found in Chapter 1, Unit 2:

HIGHMARK PROVIDER MANUAL

hcs

Highmark Clinical Services

The provider portal, Availity®, is the preferred method for authorization requests. Contact Clinical Services for inquiries that cannot be handled via the provider portal.

  • cpa/ sepa

Central Pennsylvania /
Southeastern Pennsylvania

Central Region

Medical Services: Professional Providers 866-731-8080
Medical Services: Facilities 866-803-3708
Behavioral Health
800-628-0816
Pharmacy (non-Medical Injectable)
For Medical Injectable authorizations,
use the Medical Clinical Services number.

866-600-2227
Hours of Availability:
8:30 a.m. to 7 p.m. EST, Monday through Friday.
8:30 a.m. to 4:30 p.m. EST, Saturday and Sunday, for urgent issues.


Southeastern Region

Medical Services 800-452-8507
Behavioral Health 800-628-0816
Pharmacy (non-Medical Injectable)
For Medical Injectable authorizations,
use the Medical Clinical Services number. 

800-600-2227
Hours of Availability:
8:30 a.m. to 7 p.m. EST, Monday through Friday.
8:30 a.m. to 4:30 p.m. EST, Saturday and Sunday, for urgent issues.

  • de

Delaware

Medical Services 800-572-2872
Behavioral Health 800-421-4577
Pharmacy (non-Medical Injectable)
For Medical Injectable authorizations,
use the Medical Clinical Services number.

800-600-2227
Hours of Availability:
8:30 a.m. to 7 p.m. EST, Monday through Friday.
8:30 a.m. to 4:30 p.m. EST, Saturday and Sunday, for urgent issues.

  • wny
  • neny

Western New York /
Northeastern New York

Medical Services 844-946-6263
Behavioral Health 844-946-6264
Commercial Pharmacy (non-Medical Injectable)
For Medical Injectable authorizations,
use the Medical Clinical Services number.

866-264-4685
Hours of Availability:
8:15 a.m. to 5:00 p.m. EST, Monday through Friday
  • wpa/ nepa

Western Pennsylvania /
Northeastern Pennsylvania

Western Region

Medical Services: Professional Providers
800-547-3627
Medical Services: Facilities 800-242-0514
Behavioral Health 800-258-9808
Pharmacy (non-Medical Injectable)
For Medical Injectable authorizations,
use the Medical Clinical Services number.

800-600-2227
Hours of Availability:
8:30 a.m. to 7 p.m. EST, Monday through Friday.
8:30 a.m. to 4:30 p.m. EST, Saturday and Sunday, for urgent issues.


Northeastern Region

Medical Services
800-452-8507
Behavioral Health 800-258-9808
Pharmacy (non-Medical Injectable)
For Medical Injectable authorizations,
use the Medical Clinical Services number. 

800-600-2227
Hours of Availability:
8:30 a.m. to 7 p.m. EST, Monday through Friday.
8:30 a.m. to 4:30 p.m. EST, Saturday and Sunday, for urgent issues.

  • wv

West Virginia

Medical and Behavioral Health Services
800-344-5245
Medicare Advantage Freedom Blue PPO 800-269-6389
Pharmacy (non-Medical Injectable)
For Medical Injectable authorizations,
use the Medical Clinical Services number.

800-600-2227
Hours of Availability:
8:30 a.m. to 7 p.m. EST, Monday through Friday.
8:30 a.m. to 4:30 p.m. EST, Saturday and Sunday, for urgent issues.

Additional contact information can be found in Chapter 1, Unit 2:

HIGHMARK PROVIDER MANUAL