Related Results for:
Prior authorization may be required for this procedure code.
Please note: The information below is intended to serve as a reference summary that outlines where information about Highmark’s authorization requirements can be found. This information should not be relied on as authorization for health care services and is not a guarantee of payment.
Prior Authorization
Find out how to submit, update, and inquire about authorization requests.
Obtaining Authorization
Before you submit for prior authorization on Availity Essentials, we recommend that you consult Member Eligibility & Benefits. If you don’t have access to Availity, you can review other options below.
Medical Policies
We maintain evidence-based coverage guidelines and monitor evolving therapies to ensure appropriate benefit adjudication, patient safety, and optimized treatment.
Care Management Programs
Highmark offers a wide range of care management programs and policies.
Clinical Guidance
Find clinical guidance for certain treatments from eviCore.
