Organizational Credentialing

Get in Touch with the Team

Provider Service Center

For all your credentialing inquiries, call your regional Provider Service Center and select the Credentialing option from the IVR menu.

Begin credentialing by completing the initial application.

Initial Application for Facility and Ancillary Providers

Additional resources to learn about what to expect during organizational (Facility/Ancillary) credentialing.

Change address or contact details. 

Highmark Facility/Ancillary Change Form

Useful for UB Facility Billers, Urgent Care Centers/Medical Aid Unit/Retail Clinics, or for Organizational Behavioral Health Billers.

Check the status of my credentialing application.

Credentialing Status Inquiry Form

This form is for credentialing and recredentialing inquires ONLY; all other questions will not be reviewed. 

Request special consideration to join a closed specialty.

Special Consideration Questionnaire

Complete the special consideration questionnaire for review before credentialing can begin.

Formally update the organization's ownership details.

Change of Ownership (CHOW) Form

Useful for providers to report any changes which may include the Legal Name, Doing Business As name, NPI, or Tax ID information.

Start the recredentialing process (received announcement letter).

Recredentialing Application (Updated recently)

Additional resources to learn about what to expect during organizational Recredentialing.

Find the complete list of credentialing and enrollment.

Provider Information Management Forms

Addition resource -  Provider Information Management.

Review all details on network eligibility, data management and cooperation requirements.

Highmark Provider Manual

Chapter 3 covers all aspects of provider network participation, including credentialing, recredentialing, and facility/ancillary guidelines.

Map out the complete process and timeline for joining the Highmark network.

Provider Guide to Credentialing

Find step-by-step guidance on Highmark's credentialing requirements: application submission, provider verification, and standards.