Highmark Provider Manual
Find important information, policies, & procedures for all providers participating in our network.
What is My Service Area?
Determine the Highmark service area for your location with our detailed map divided by county.
Download Complete Provider Manual
Use this link to download the complete Highmark Provider Manual in PDF format.
Tips For Using This Manual
Frequently Used Sections
Find what you need, fast, with these popular topics.
General Claim Submissions
Get information on the required format for filing claims.
Electronic Claim Submissions
Process claims faster by submitting them electronically.
Request Prior Authorization
Find out what's involved in requesting authorizations.
Claims Filing Address
Make sure your claim goes to the proper destination.
Network Participation
Understand the requirements and benefits of participating in our networks.
Online Resources & Contacts
Learn how to use this manual as your primary reference guide.
Availity
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.
