Don't miss. For TDD/TTY services, please call 1-800-480-1419. Highmark Health Options processes medical expenses upon receipt of a correctly completed CMS-1500 form for professional services and upon receipt of a correctly completed UB-04 form for hospital or facility expenses. The Blue Cross and Blue Shield symbols are registered marks of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans.Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia and Washington County, Ohio. Box 890173 Camp Hill, PA 17089-0173 For Behavioral Health Only: For Traditional Indemnity, PPOBlue, BlueCard PPO, and Federal Employee Program, send claims to: . Highmark Blue Cross Blue Shield Delaware P.O. Your Personal Data will remain on file for: any period required by applicable law; and, to the extent necessary for any purpose(s) provided directly or indirectly herein or as may be reasonably inferred from the content contained in this notice or the website, but no longer than permitted by applicable law. Notwithstanding the above disclosures, we will disclose the Personal Data we collect from you under the following circumstances: We use third-party service providers to process Personal Data, including, without limitation, for information storage and other similar purposes. License Number 51. Also, you can contact with customer support and ask them for help. CUSTOMER'S NAME CUSTOMER'S ADDRESS q Check box for change of address Federal Claims. Please be sure to include your own contact information in case Highmark West Virginia or the PAC need to contact you for additional information. Para asistencia en espaol llame al1-844-325-6251. claim review form blue cross blue shield of texas, provider refund check www11 anthem com, forms providers bluecare tennessee, highmark blue cross blue shield . Highmark Blue Shield of Northeastern New York. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. P.O. Box 890402 Government Programs Claims and Correspondence. Read! Box 8830 : Wilmington, DE . Highmark Blue Cross Blue Shield of Western New York How to Use This Manual Quick Reference Service Area Map 1.2 West Virginia Claims Filing Addresses 1.2 Delaware Claims Filing Addresses 1.2 PA Central, Eastern, & Northeastern Regions Claims Filing Addresses 1.2 PA Western Region Claims Filing Addresses 1.2 Highmark West Virginia Contact Information for Providers 1.2 Highmark Blue Cross Blue Shield. Buffalo, New York 14240-0080, HealthNow New York If a provider must file a paper claim, mail claim to Blue Cross and Blue Shield of Texas P.O. Let me give you a short tutorial. Current Members Call: 1-800-935-2583 (TTY/TDD users call: 711) 8:00 a.m. - 8:00 p.m. . Phone Number Charleston, WV 25325 Reporting Fraud Do not use this mailing address or form to report fraud. Supporting the health of Western New York. LoginAsk is here to help you access Highmark Bcbs Hsa Login quickly and handle each specific case you encounter. Security Blue HMO-POS. However, if it becomes necessary for the Committee to discuss personally identifiable health information or proprietary information, all non-PAC members except Highmark West Virginia employees will be excused from the meeting prior to the discussion of such information, in order to comply with federal and state privacy requirements or to protect proprietary information of the Plan. Please note that the member's (or employee's or authorized person's) signature is required on this form. P.O. Provider Number. Box 890393 Camp Hill, PA 17089-0393 Signature 65 Highmark Blue Shield P.O. If you are not satisfied with our data processing you have the right to lodge a complaint to the data protection authority in your country of residence. Don't miss. You or your representative may extend the timeframe for making the appeal decision for up to 14 days. For questions about our Harrisburg location, please email us at HarrisburgConnectionCenter@HighmarkWholecare.com or call 717-510-7600 (TTY 711). Call 1-800-996-9969 or visit Delaware ASSIST to enroll. Additional Provider ID 52a. To speak with a Medicare Advisor, please call: 1-844-593-0265 Request a Call Have a Highmark Medicare Advisor call you to answer your specific Medicare questions, provide an expert evaluation of your current situation and advise you on selecting the right plan. Box 890419 medicare highmark bcbs refund address, forms and documentation providers blue cross nc, provider information blue cross blue shield of texas, local blue cross . or call 412-690-7400 (TTY 711). 1. Step 1. East Liberty, Pittsburgh 6033 Broad Street Pittsburgh, PA 15206 Hours: Monday through Friday 8 a.m. - 4 p.m. (i) when required or permitted by law or government agencies. All rights reserved. The PAC will not address individual provider billing disputes or Highmark West Virginia medical policies, reimbursement levels, eligibility, or coverage rules. Buffalo, NY 14202-2657, Mailing Address: Mail completed claim form to: Vision Care Processing Unit, P.O. 467 0 obj <> endobj Highmark Blue Shield of Northeastern New York and Highmark Blue Cross Blue Shield of Western New York are trade names of Highmark Western New York and Northeastern New York Inc. Highmark Blue Cross Blue Shield West Virginia Our mailing address is: Highmark Fifth Avenue Place 120 Fifth Avenue Buffalo, NY 14240-0080. Security | Privacy | Terms of Use | Notice of Non-Discrimination and Translation Assistance, Notice of Non-Discrimination and Translation Assistance. Box 898845 Camp Hill, PA 17089 -8845 Children 's Health Insurance Plan (CHIP) PPO Plus . Forgot Password, Monday - Friday: 8 a.m. - 12 p.m., 1 p.m. - 5 p.m. %PDF-1.5 % About Us. 1-800-666-4627 Box 660044 Dallas, TX 75266-0044 Request for claim review form and instructions: Availity Essentials Authorizations & Referrals submissions Highmark Health Fifth Avenue Place 120 Fifth Avenue Pittsburgh, PA 15222-3099 (412) 544-7000 Fields marked with an asterisk (*) are required. Highmark Blue Cross Blue Shield West Virginia P.O. ATENCIN:Si usted habla espaol, servicios de asistencia lingstica, de forma gratuita, estn disponibles para usted. Online contacts Provider Relations - provrel@highmarkbcbsde.com For the best performance and security, always keep . NPI 50. Enclosures (Y or N) (Use "Place of Service Codes for Professional Claims") 52. After that, all Personal Data will be deleted or the documents with such data will be anonymized. Box 660044 Dallas, TX 75266-0044: Claim review submission address. ATTN: FEP Department Highmark Health Options Member Services is available MondayFriday, 8 a.m.8 p.m. A provider may submit an issue for consideration by the PAC by sending written comments, either by letter or email, to: Medical Director, c/o Manager of Operational QI Highmark Blue Shield P.O. 4. Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Highmark Blue Cross Blue Shield This site works best if viewed with the latest version of Internet Explorer, Firefox, Chrome, or Safari browsers. Step 1. P.O. If you suspect fraud, contact Highmark's Financial Investigations and Provider Review (FIPR) Department. Highmark Frequently Used Contact Information OASIS Eligibility, benefits and status of claims: call 1-800-462-7474, or in the Harrisburg area, 1-717-302-5125 on your touch-tone telephone. !p?'Sxw YtqwLiiu2{rv': Any information we provide is limited to those plans we do offer in your area. Current Members Call: 1-800-345-7808 (TTY/TDD users call: 1-800-345-3816) . Hours of operation are 8:00 a.m. to 4:30 p.m. EST. %%EOF At least a majority of PAC members will be participating providers in Highmark West Virginia's networks. Box 890062 Camp Hill, PA 17089 . Highmark Blue Cross Blue Shield Delaware Allegheny Health Network Site Map Home Contact Us Contact Us Have questions or comments? 7. 11=oce; 22=O/P Hospital) 39. P.O. 2022 Highmark Health Options. 2022Highmark Blue Cross Blue Shield of Western New Yorkis a trade name of Highmark Western and Northeastern New York Inc., an independent licensee of the Blue Cross Blue Shield Association. Note: Providers are reminded not to send Highmark a check for a refund of a claim overpayment. Contact Us; My Location; Login; Customer Service 1 (800) 241-5704 COVID-19 RESOURCES About Highmark Non Discrimination Policy; Procurement; Electronic Data Interchange . Highmark Blue Cross Blue Shield of Western New York Highmark West Virginia has established a Provider Advisory Committee (PAC) to afford providers a mechanism to offer recommendations and comments to the Plan on provider billing, coding, and administrative issues. Box 106004 Box 890062 Camp Hill, PA 17089-0062 Highmark Blue Shield Indemnity Major Medical Highmark Major Medical P.O. Box 80 Buffalo, NY 14240-0080. Get care for your physical and mental well-being, including prescription drug coveragefrom the doctors, hospitals, and pharmacies you need. Paper claim mailing address Billing provider ISA-08 GS-03 Keystone Health Plan East Independence QCG Keystone Health Plan East POS 54704 95056 SX055 . Visit a Location Near You! How can I get to a Customer Service walk-in site? Delaware Claims Addresses . Step 1. Highmark Blue Shield Medical-Surgical claims (Including BlueCard PPO ): Highmark Blue Shield P.O. Careers. *If you are aMedicaidorChild Health Plusmember, pleaselogin here. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Refer to the latest provider manual for details. If you don't remember you personal data, use button "Forgot Password". Fax: 716-887-7594, 716-884-2942 (iii) for purposes relevant to corporate policies or litigation to the extent permitted under applicable law or when it is prescribed in GDPR or other applicable law. Email:pac@highmark.com If there are any problems, here are some of our suggestions Top Results For Highmark Bcbs Log In Updated 1 hour ago www.highmarkbcbsde.com Highmark Visit site Address, City, State, Zip Code 56a. Need our street address? Location Address 11 1 8 Claim Overpayment Refunds Highmark Your Health Care Partner April 23rd, 2019 - Highmark Inc is a national diversified health care partner serving . If there are any problems, here are some of our suggestions Top Results For Highmark Bcbs Log In Updated 1 hour ago www.highmarkbcbsde.com Highmark Visit site www.highmarkblueshield.com Highmark Blue Shield Blue Cross and Blue Shield of Texas P.O. This may include exploring ways to improve health care delivery, clinical quality, cost-effectiveness of services, communication and cooperation. Enter your Username and Password and click on Log In Step 3. Pittsburgh, PA 15230-1068. Midtown Harrisburg 1426 N. 6. Members will represent different specialties and geographic areas, and include provider representatives who deal directly will billing, coding, and plan administrative issues. Box 1525, Latham, NY 12110. If you suspect fraud, contact your local Financial Investigations & Provider Review Department within Highmark. Camp Hill, PA 17089-0173 SpecialCare Highmark Blue Shield Claims P.O. 0 hbbd```b``S@$A^+A$ d"Y~`;"7i)f[u)Hh"'` Box 1353 Charleston, WV 25325 Email:pac@highmark.com Phone: (304) 347-7681. Buffalo, New York 14240-0080, Highmark Blue Cross Blue Shield of Western New York, Provider Relations & Contracting Department, 257 West Genesee Street Highmark Blue Shield Attn: FEP Claims P.O. If you have a question about your coverage or how to enroll, check the member handbook.. Click the "I need more help" tab on the right. Forgot Username Provider Information Management forms are used to maintain provider accounts as well as begin the process to join Highmark's networks for new practitioners and offices. Highmark Blue Cross Blue Shield West Virginia is an independent licensee of the Blue Cross Blue Shield Association, an association of Independent Blue Cross and Blue Shield Plans. To speak to a NaviNet Customer Care Representative directly, please call during the hours listed above at 1-888-482-8057. Highmark Blue Shield serves . Please complete the form below. or MEDICARE CLAIMS ANCILLARY CLAIMS FILING MANDATE OUT-OF-AREA POLICY SEARCH TOOLS & RESOURCES TOOLS & RESOURCES child pages; TOOLS & RESOURCES parent page . 1-800-677-3086 Highmark Blue Shield also provides services in conjunction with Blue Cross of Northeastern Pennsylvania in northeastern . For Medicare. You also explicitly consent to the automated decision making by us, which may include the processing of your health data, to the extent that it is necessary to process your health claim swiftly and efficiently. . Your Personal Data will be disclosed to appropriate personnel for purposes of performing services to, or on behalf of, our enterprise customers and prospective customers as part of and in relation to matters regarding our provider, health plan, and subsidiary enterprise care delivery, administration and operations. HealthNow New York ATTN: FEP Department PO Box 80 Buffalo, New York 14240-0080. Provider Relations and Contracting Department. Please submit claim reimbursement for each patient on a separate claim form. Please carefully read and follow the instructions contained within the individual form for submission. SSN or TIN Specialty Code 38. endstream endobj startxref Provider Correspondence. Box 1068. Monday - Friday: 8:00 a.m. - 7:00 p.m. CLAIMS FILING ADDRESSES - DELAWARE . 48. To reach Highmark Blue Shield Customer Service by telephone, call 1-800-345-3806. Claim Filing Addresses - Central, Eastern and Northeastern Regions Only Claim Submission Postal Addresses, . Even when you're not sick, we'll help with your wellness goals. 5. 497 0 obj <>/Filter/FlateDecode/ID[]/Index[467 54]/Info 466 0 R/Length 136/Prev 90940/Root 468 0 R/Size 521/Type/XRef/W[1 3 1]>>stream Go to Highmark Bcbs Log In website using the links below Step 2. Camp Hill, PA 17089-0419. Highmark Blue Shield P.O. CallProvider Services at Highmark Health Options at1-844-325-6251, MondayFriday, 8 a.m.5 p.m. Highmark Health Options t` `{lM 2&F$ 5 If your doctor would like to discuss your appeal with one of our doctors, they may call us at 1-844-325-6251 to speak with a medical director. Take I-81 N to the Wertzville Road exit. . Box 890419 Camp Hill, PA 17089-0419 Provider Contact Call Provider Services at Highmark Health Options at 1-844-325-6251, Monday-Friday, 8 a.m.-5 p.m. Only Providers who have claims linked to Letters can login. Contact with questions regarding provider disputes, appeals, claims, prior authorizations, and more. These services providers are located in the United States. Contact with questions regarding provider disputes, appeals, claims, prior authorizations, and more. P] B*w32xAJa#8fFE sh:zFK t :nUPU 2T"! The Claims Administrator/Insurer complies with applicable Federal civil rights laws and does not Local: (716) 884-2800 The PAC may also serve as a forum to discuss regional or national issues regarding interactions among providers, their patients and health plans. Highmark Blue Shield was formed in 1996 when Blue Cross of Western Pennsylvania and Pennsylvania Blue Shield were consolidated into the current company. Pou asistans nan kreyl ayisyen rele 1-844-325-6251. Comprehensive Major Medical Highmark Blue Shield P.O. The purpose of this Data Protection Statement is to notify you of the practices that will govern the processing of your personal data and to obtain your explicit consent for the processing of your personal data consistent with it, in particular in accordance with the legal requirements of the European Unions (EU) General Data Protection Regulation (GDPR): The personal data collected may include your address, city, postal code, country, phone number, email address, IP address, as well as any other personal information you choose to provide (Personal Data). hYnF}LP% 8#y`$b#E'v3K"iQ}15p0`0d"dsf^$FKaBs7 @kIqdFOLQS#$SbwBawj,Rc2I8f&?EC 3"0=rK3hdu49==?cFV71w4Mcpt[avl9_`0/jZ04Q>'GQ[Qd:|0$b-wg@! N1^PR^HIGHMARK BLUE SHIELD N3^120 FIFTH AVENUE N4^PITTSBURGH^PA^15222 REF^NF^54771 PER^CX^^TE^8005551111 N1^PE^A HOSPITAL^FI^555555555 N3^1000 MAIN ST Go to Highmark Blue Cross Blue Shield Account website using the links below Step 2. Addiction and Substance Use Disorder Resource Center. P.O. 257 West Genesee Street These service providers will be bound by sufficient guarantees to implement appropriate technical and organizational measures in such a matter that their processing will meet the requirements of applicable law. Fax: 716-887-7913, Highmark Blue Cross Blue Shield of Western New York Camp Hill, PA 17089-0402, Highmark Health Options Medicaid & Child Health Plus (CHP) Important Legal Information: Health care benefit programs are issued or administered by Highmark Blue Cross Blue Shield Delaware or Highmark Health Insurance Company, independent licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross Blue Shield plans. We do so by offering health plans that provide reliable coverage to Western New Yorkers and by supporting the organizations and individuals who work . Highmark Blue Shield Medical -Surgical Claims : Claims Processing P.O. If you have questions regarding how we process your Personal Data and what we store about you, please contact PrivacyInternational@HighmarkHealth.org or write us: By agreeing to the terms and conditions set out in this Data Protection Statement, and by providing us with your Personal Data, you consent to the collection, use and disclosure of any information you provide in accordance with the above purposes and this Data Protection Statement. Rev. Mailing address 1901 Market Street Philadelphia, PA 19103-1480 Email Complete the Provider Communications Email Sign-up Form to receive email updates with the latest information, including Partners in Health UpdateSM. NaviNet is the fastest way to submit claims to Highmark. Enter your Username and Password and click on Log In Step 3. January 2022 Payer ID provider number reference Professional . Highmark will no . 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