hbs.highmarkprc.com Open in urlscan Pro
54.161.104.221  Public Scan

Form analysis
0 forms found in the DOM

Text Content

A newsletter for the Highmark Blue Shield providers in central Pennsylvania, the
Lehigh Valley, northeastern Pennsylvania and southeastern Pennsylvania
Issue 6, June 2023
IN THIS ISSUE:
In This Issue
 * General News
 * Highmark Will Be Moving to a New Provider Portal
 * 2023 Preventive Schedule Mid-Year Update: New Anxiety Screening Benefit
 * BlueCard Tips and Reminders
 * Diversity Business Classification – Take Our Survey
 * Is Your PROMISe ID Up to Date?
 * Short Takes: Rendering Provider Info, PHE Reminders and More
 * Working to Meet Patients’ Language Needs
 * Latest HEDIS Audit Results Now Available
 * Training
 * Free Coding Webinar on Depressive Disorders
 * Key FAQs: Medicare Compliance Training
 * Reimbursement, Claims & Billing
 * Claims Corner – 3 Ways to Conduct a Claim Status Inquiry
 * Reimbursement Changes to Incident To Services
 * New and Updated Reimbursement Policies
 * Authorization Updates
 * Administrative News
 * Quarterly Formulary Updates
 * Staying Up to Date with the Highmark Provider Manual



Highmark invests heavily in listening to and understanding the people we serve;
and that includes you, our providers. In response to your feedback, one of our
long-term commitments is to enhance the overall provider experience — including
our self-service tools like the provider portal, Interactive Voice Response
(IVR) system, and our Provider Resource Center websites.



We’re endeavoring to create state-of-the-art tools that streamline the way
providers work with us. Tools that reduce administrative burden, improve office
workflows, and simplify complex transactions — allowing providers to focus on
delivering care to our members.

The first step in that process was identifying a partner for a new provider
portal.

“With provider input and the future vision of Highmark’s digital platforms in
mind, we evaluated the advantages of our current provider portal and areas where
we can improve. We looked closely at our opportunities to offer an enhanced
online experience and found that Availity meets many of the criteria that will
help us better serve providers,” said Lori Ashby, SVP Health Plan Capabilities
Shared Services.

“Availity is just one step down a road where our relationship with providers is
transformed; where we deliver on our Living Health model of a more connected,
seamless experience,” she continued.

Availity’s multi-payer platform will further that mission by supporting the
existing payer-provider transactions necessary to manage care for Highmark
members and act as a gateway to our utilization management platform to perform
authorization transactions.

Availity serves plans nationwide, including many Blue Cross Blue Shield
Association licensees like us, making it easy for provider organizations to
intuitively connect, communicate, and collaborate with other health plans on
eligibility, authorizations, claims management, remittances, and other critical
tasks.

“Availity is proud to partner with Highmark to support their provider engagement
goals,” said Leslie Antunes, Chief Growth Officer of Availity and the executive
sponsor of the Highmark relationship. “Providers and payers need the right tools
to quickly and accurately accomplish administrative and financial tasks without
adding undue burden or abrasion to the process. We look forward to collaborating
on Highmark’s vision of creating an integrated, cost-effective, and fulfilling
provider experience, grounded in patient-centricity across all markets and
segments.”

The transition to Availity will happen in stages:



 1. August and September 2023:
    Highmark will engage a pilot group of providers to ensure a seamless
    transition.
 2. October 22, 2023:
    Providers who currently use Availity for other payers will see Highmark as
    an option in the states in which they are contracted.
 3. February 5, 2024:
    Availity will be available for all Highmark providers.
 4. March 2024:
    Highmark will retire its use of NaviNet® and HEALTHeNET (NY).

(Note: Highmark Wholecare and Highmark Health Options will not transition to
Availity; providers should continue to use their current portals for
transactions related to these plans.)



We have a section of the Provider Resource Center dedicated to our transition to
Availity. You can find it at the top of the left-hand website menu. That section
includes additional background information on the transition as well as a list
of frequently asked questions.

More information regarding registration and training will be shared in the
coming months.

To ensure you receive updates from Highmark, sign up for our eSubscribe List
HERE. Once you’ve subscribed, you will receive Highmark’s monthly newsletter,
Provider News, with the latest information about the transition to Availity
Essentials. We may also post updates on our Provider Resource Center.

  
Provider News, Issue 6, June 2023   |   © 2023 Highmark Blue Shield

 



HOME ABOUT THIS NEWSLETTER CONTACT US LEGAL INFORMATION ARCHIVE NAVINET PROVIDER
RESOURCE CENTER
General News Highmark Will Be Moving to a New Provider Portal 2023 Preventive
Schedule Mid-Year Update: New Anxiety Screening Benefit BlueCard Tips and
Reminders Diversity Business Classification – Take Our Survey Is Your PROMISe ID
Up to Date? Short Takes: Rendering Provider Info, PHE Reminders and More Working
to Meet Patients’ Language Needs Latest HEDIS Audit Results Now Available

--------------------------------------------------------------------------------

Training Free Coding Webinar on Depressive Disorders Key FAQs: Medicare
Compliance Training

--------------------------------------------------------------------------------

Reimbursement, Claims & Billing Claims Corner – 3 Ways to Conduct a Claim Status
Inquiry Reimbursement Changes to Incident To Services New and Updated
Reimbursement Policies Authorization Updates

--------------------------------------------------------------------------------

Administrative News Quarterly Formulary Updates Staying Up to Date with the
Highmark Provider Manual

Highmark Blue Shield is an independent licensee of the Blue Cross and Blue
Shield Association.