Starting Nov. 5, 2025, providers in NY will begin seeing changes in the authorization workflow. For providers in DE, PA, and WV, the transition will occur on Nov. 11, 2025.
Highmark has identified a technical issue that incorrectly applied a payment reduction to Medicare Advantage claims submitted Oct. 18 – Nov. 4, 2025.
Access this valuable resource for health care providers who participate in our networks.
This monthly newsletter informs health care providers who participate in our networks and submit claims to Highmark using the appropriate HIPAA transactions.
Refer to these important communications to stay informed on the latest updates and changes impacting your practice.
Is prior authorization needed? Search for codes and get guidance on the process
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