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\u201cIn the coming months, the newly affiliated organization will be rebranded Highmark Blue Cross Blue Shield of Western New York and Highmark Blue Shield of Northeastern New York,\u201d the two Blue Cross plans said. Financial terms of the deal weren't disclosed.
If you are sending to Highmark with Payer ID 54771 & Payer ID 15460, follow the instructions below.
Mail your request: To submit a Clinical Provider Appeal, use the following contact information. Fax your request for all member appeals or grievances to 1-833-841-8075. All Medicaid Providers, use 1-833-841-8075.
Return the completed Claim Form to: Highmark Blue Cross Blue Shield, the Claims Administrator for the medical component of the Plan, at the following address: Highmark Blue Cross Blue Shield P. O. Box 1210 Pittsburgh, PA 15230-1210 \u2022 Attach: all original itemized bills to the claim form.
For starters, you can: To access all of the features on the Highmark Plan App, you must have active Highmark medical coverage. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries and regions. App Store is a service mark of Apple Inc.
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Per the timely filing policy, any claim not received within 365 days of the last date of service will be denied for untimeliness. This policy applies to all Highmark Blue Shield providers.
Timely filing is when an insurance company put a time limit on claim submission. For example, if a insurance company has a 90-day timely filing limit that means you need to submit a claim within 90 days of the date of service.
With self-funded plans, also called administrative services only (ASO) plans, Highmark acts as a third-party claims administrator (TPA) for the group's health benefit plan. With self-insured coverage: Highmark handles administrative services but assumes no risk for the cost of claims.
\u201cIn the coming months, the newly affiliated organization will be rebranded Highmark Blue Cross Blue Shield of Western New York and Highmark Blue Shield of Northeastern New York,\u201d the two Blue Cross plans said. Financial terms of the deal weren't disclosed.
Highmark Blue Shield's claim processing system places a higher priority on claims filed electronically. Electronic claims will typically process in 7 to 14 calendar days, whereas paper claims will process in 21 to 27 calendar days.

highmark bcbs pa appeal form