Notice of Practice/Practitioner Changes

Medicaid and Medicare

One of the many benefits available to Highmark Wholecare members is improved access to medical care through Highmark Wholecare’s contracted provider network. We strive to provide the most accurate and up-to-date information in our provider directory to allow our members unhindered access to network providers.

To ensure our members have correct information about our 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, and Existing Only)
• Practitioner participation status (additions and terminations)
• Mergers and acquisitions

Providers who experience such changes must provide Highmark Wholecare a written notice at least 60 days in advance of the change by completing the Highmark Wholecare Practice/ Provider Change Request Form, or providers may submit notice on your practice letterhead.

We have created a digital Provider Change Request Form! You can find and complete the electronic change form, then submit to us via email, fax, or mail.

Please submit change requests via fax, email, or mail.

Email:
ProviderNotification@highmarkwholecare.com
*FQHC/RHC providers should submit their changes to
Roster_Updates@highmarkwholecare.com

Fax: 1-855-451-6680

Mail: Delivery Code: WC-PDM

Provider Data Management Highmark Wholecare
PO Box 890039
Camp Hill PA  17089-0039

*As a friendly reminder for Federally Qualified Health Centers and Rural Health Clinics, please report any of the changes listed on this page using the Roster Template which is located on the Highmark Wholecare PRC.

The Pennsylvania Department of Human Services (DHS) requires all providers to have current National Provider Identifier (NPI) information. It is critical that providers revalidate their information on a regular basis. If providers do not enroll and revalidate their information with DHS, no payments will be made.