Self-Service Hub

Last Updated: Thursday, May 07, 2026

We value your participation with Highmark and the quality service you provide to our members. We have made significant investments in our self-service tools to reduce administrative burden, improve office workflows, and simplify complex transactions — allowing you and your staff to focus on delivering care to our members.

As a result of this evolution, Highmark requires providers to utilize our enhanced self-service tools to obtain the fastest resolution to many common issues and tasks. This allows our Provider Service advocates to assist with more complex issues and your staff avoid unnecessary hold times on the telephone.

Highmark’s Provider Resource Center (PRC)

You are here! The PRC is the main hub for you and your staff to review important information and tools, such as EFT registration, policies, procedures, and the Provider Manual.

Highmark’s Provider Portal (Availity Essentials)

The primary method to submit transactions to Highmark and access reports is through Availity Essentials.

The following is available via Availity:

Value Insight Center (Value-Based Program Reporting Tool)
Credentialing (Initiate Application, Submit Change, Review Status)
Eligibility and Benefits Check
Authorization Submission
Claim Submissions/Investigations – The use of Availity to check claim status and submit a claim investigation is required.

Contact Availity: 800-AVAILITY (282-4548), Monday through Friday, 8 a.m. to 8 p.m. Eastern time.

Provider Live Chat

Need quick answers? Our Provider Live Chat offers digital support for common questions like claim and authorization status. Log into Availity, navigate to Highmark's Payer Spaces, and click "Provider Live Chat" to connect. Live agents are available during weekday business hours.

Interactive Voice Response (IVR) System

Highmark's Provider Service Center offers options for you to access information, such as claim status or member benefits, without a live agent.

Self-Service Guidance

Use the table below as a reference if you are unsure of where to start with our wide range of self-service tools.

Self-Service Support for Providers

Topic(s) No results were found for the keyword entered.	Inquiry Examples No results were found for the keyword entered.	1st Level Self Service (required for many transactions) No results were found for the keyword entered.	2nd Level Provider or Clinical Service No results were found for the keyword entered.
Authorization Appeals / Grievances No results were found for the keyword entered.	Confirm status of retrospective reviews and appeals Appeal sent but not received Disputing decision No results were found for the keyword entered.	Availity: Status check for Retrospective Reviews and Appeals Peer-to-Peer: (866) 634-6468 to schedule No results were found for the keyword entered.	Contact Regional Provider Service: Contact Us No results were found for the keyword entered.
Authorization and Pharmacy No results were found for the keyword entered.	Urgent or non-urgent prior authorization requests Post-acute discharge Check authorization status No results were found for the keyword entered.	Availity: Submit authorization, check status or make changes Portal Submission Guides: Inpatient Authorization Submission (Both Urgent and Non-Urgent) Outpatient Authorization Submission No results were found for the keyword entered.	Contact Clinical Services or Pharmacy: Contact Us (If services are within 72 hours, Post-Acute or Pharmacy related) No results were found for the keyword entered.
Claims No results were found for the keyword entered.	Claim didn’t process correctly or according to expectation Adjustment has not been completed timely Submitted adjustment bill and claim has been rejected as duplicate rather than adjustment Status of submitted claim No results were found for the keyword entered.	Availity: Claims inquiries/direct messaging (including follow-up to an initial inquiry) Interactive Voice Response: Can be used to check claims status (Contact Us) No results were found for the keyword entered.	Availity: Claims inquiries/direct messaging (including follow-up to an initial inquiry) Interactive Voice Response: Can be used to check claims status (Contact Us) No results were found for the keyword entered.
Contracting No results were found for the keyword entered.	Contract payment was made incorrectly No results were found for the keyword entered.	Contact Regional Provider Service: Contact Us No results were found for the keyword entered.	Contact Regional Provider Service: Contact Us No results were found for the keyword entered.
Eligibility and Benefits No results were found for the keyword entered.	View member ID card Member cost share Deductible renewals New benefit year information No results were found for the keyword entered.	Availity: Benefits and eligibility check No results were found for the keyword entered.	Contact Regional Provider Service: Contact Us No results were found for the keyword entered.
Medical Policy No results were found for the keyword entered.	Medical necessity and coverage guidelines Coding guidance No results were found for the keyword entered.	Provider Resource Center: Commercial Medical Policy Search Tool Delaware New York Pennsylvania West Virginia (Highmark adheres to the Centers for Medicare and Medicaid Services coverage determinations for Medicare Advantage membership.) No results were found for the keyword entered.	Contact Regional Provider Service: Contact Us No results were found for the keyword entered.
Remittance No results were found for the keyword entered.	Didn’t receive file for claims payment Don’t understand file Didn’t get payment file (EFT) No results were found for the keyword entered.	NY Highmark EDI: (800) 992-0246 Highmark EDI: Satisfaction Survey DE, PA, WV ECHO Support: (800) 890-4124 ECHO: User guide No results were found for the keyword entered.	Contact Regional Provider Service: Contact Us No results were found for the keyword entered.

Additional information can be found on our Provider Onboarding, Availity, and Electronic Claims pages.