Provider Self-Reported Recovery

Federal and state regulations require providers to routinely audit claims for overpayments. To meet this requirement, providers must notify Highmark Wholecare in writing of the reason for the overpayment and return the full amount of the overpayment within 60 days of the date they identified the overpayment.

Providers can electronically submit overpayments via TRENDSubmit.

This secure, web-based process was built to streamline the adjudication of provider self-reported overpayments to payers.

TRENDSubmit is user-friendly and has real-time status updates with a full audit trail and comprehensive dashboard reporting.

Providers can contact Jennifer Baron (jbaron@trendhealthpartners.com) to initiate TRENDSubmit access, receive user training resources, and get ongoing support. 

If you have any questions regarding Provider Self-Audits, please contact Highmark Wholecare’s Special Investigation Unit (SIU) at Bradley.Defranc@HighmarkHealth.org.