Clinical Quality & Education
Highmark has implemented a range of programs, guidelines, and resources to help ensure quality health care delivery. Find out more.
Guidelines & Resources
Preventive Health Guidelines
Highmark's Quality Management Department, along with participating physicians, reviews and updates the Preventive Health Guidelines and Immunization Schedules each year. Get the latest guidelines here.
Educational Resources - Member And Provider
Choose from a wide range of reminder cards, brochures, bookmarks, and trackers to share with your patients, along with provider materials.
Risk Adjustment Program
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Highmark offers a series of Risk Adjustment Programs to ensure compliance, accuracy, and quality. Access our Risk Adjustment manuals, videos, guides, presentations, and more.
Practice Site Resources
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Get forms and resources to support your practice, including Office Site and Medical Record Evaluation forms, PCP and OBGYN practice resources, and behavioral health practice resources.
Coding Education/HCC University
Highmark offers HCC (Hierarchical Condition Category) coding courses to help with risk adjustment documentation and coding. We also offer informative videos on disease burden capture, along with documentation and coding reference cards.
Provider Service Center
Can't find an answer? Call us: 8 a.m. to 5 p.m. EST, Monday through Friday.
Clinical Services
Still have questions? Call us: 8:30 a.m. to 7 p.m. Monday through Friday, 8:30 a.m. to 4:30 p.m. Saturday and Sunday.
