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Redetermination for Practice /Practitioner Changes

Last Updated: Wednesday, July 19, 2023

To ensure our members have up-to-date and accurate information about Highmark Wholecare's network providers, it is imperative that providers notify Highmark Wholecare of any of the following:

Address Changes;
Phone & Fax number changes;
Changes of hours of operation;
Primary Care Practice (PCP) panel status changes (Open, Closed & Existing Only);
Practitioner participation status (additions & terminations) and;
Mergers and acquisitions.

Practice/Practitioner Change Form