Care Management
Our programs offer an integrated approach to healthcare coordination, so members get the right care in the right setting.
Behavioral Health
Highmark's Behavioral Health Program helps to link members to appropriate care for mental health/substance use disorder conditions.
Right Care Program
Right Care is a Highmark clinician-led program to reduce clinical variability and improve outcomes, experience, and appropriateness of care. It’s done to make sure our members receive the right care, at the right place, and the right time.
Well in Place
- wpa/ nepa
- cpa/ sepa
- de
Well in Place is a non-billable service that helps eligible Highmark members living with serious illness, advanced chronic conditions, and complex life challenges stay supported, connected, and cared for beyond the clinic or hospital.
Authorization Support
Availity Portal
Have questions about Availity? Get help with portal actions or navigation, registration, access, error messages, and more.
Authorization Status
To check the status of submitted authorizations:
1. Use the Predictal Auth Automation Hub within Highmark’s Payer Spaces in Availity Essentials.
2. If you can't find what you need in Availity, call Highmark Clinical Services and press 2 for authorizations.
Fax
If you're unable to use Availity, you can also fax your authorization requests. Find the prior authorization forms you need here.
Provider Service Center
Can't find an answer? Call us: 8 a.m. to 12 p.m. and 1 p.m. to 5 p.m. EST, Monday through Friday.
Clinical Services
Still have questions? Call us: 8 a.m. to 5 p.m. EST, Monday through Friday.
