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IN THIS ISSUE:
In This Issue
General News
Highmark Seeking New Members for the Network Quality and Credentials Committee
Annual Wellness Visits Best Practice Series: Interview with Preferred Primary
Care Physicians
Increased Fee Schedule for Annual Wellness Visits Extended Through December 31,
2020
Highmark Product News: Important Updates Coming for 2021
Reimbursement, Claims and Billing
Watch for Updates to Highmark’s List of Procedures Requiring Authorization
Notifications for Providers
Quarterly Formulary Updates Available Online
Staying Up to Date with the Highmark Provider Manual



Highmark is now offering more ways for providers to receive payments as part of
our ongoing commitment to help you simplify and improve payment transactions for
your business. Highmark has engaged PNC Healthcare to provide new electronic
payment methods via their Claim Payments & Remittances (CPR) service, powered by
ECHO Health.

Beginning November 8, 2021, claim payments will be generated from PNC-ECHO
Health Trust rather than Highmark Inc. Electronic Remittance Advices (ERAs) will
be distributed using the ECHO Payer ID 58379.

These changes do not apply to Highmark Health Options, Highmark Blue Cross Blue
Shield Western New York, or Highmark Blue Shield Northeastern New York.




PROVIDERS RECEIVING ELECTRONIC PAYMENTS AND REMITTANCE ADVICES:







 * If you wish to continue receiving EFT payments and ERAs, no action is
   required, and your payment preference will transition to the ECHO Health
   platform automatically beginning November 8, 2021. (You will receive a letter
   from ECHO Health in October with your unique registration code if you would
   like to change your payment election prior to November.)

   

   

 * Your ERAs will be available on ECHO Health’s platform . You may register
   there to search, view, and print your Explanation of Payments (EOPs) and
   download 835 files.

   

   

 * If you are currently registered and receiving payments from other payers on
   the ECHO platform, your Highmark Inc. payments will begin displaying in this
   portal after November 8, 2021.

   

   

 * For your convenience, you will still be able to view your claims status and a
   copy of your EOP through Highmark’s portal, NaviNet®. However, you will still
   need to visit ECHO’s provider platform to manage/change payment information.

   

   

 * Suggested Actions:
   
   
   
   * Update your vendor and/or your practice management system wherever
     necessary to ensure continued seamless processing of EFT payments.
   
     
   
     
   
   * Confirm with your ERA Clearinghouse that they are prepared to receive ERAs
     from ECHO Health, Inc.





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PROVIDERS RECEIVING PAPER CHECK PAYMENTS AND PAPER REMITTANCE ADVICES (RAS):







 * Before October 8, 2021, you may elect EFT payments now through Highmark’s
   provider portal, NaviNet, and your EFT payment preference will transition to
   the ECHO Health platform automatically.

   

   

 * Between October 8 – November 7, 2021, changes to your bank account or payment
   preference must be made in both NaviNet and on the ECHO Health platform. (You
   will receive a letter from ECHO Health in October with your unique
   registration code if you would like to change your payment election prior to
   November.)

   

   

 * Beginning November 8, 2021, you may elect to receive EFT only or 835/EFT
   through the ECHO Health platform. To sign-up to receive EFT on the ECHO
   Health platform, visit their EFT/ERA enrollment page .

   

   

    * If you have not registered to accept payments electronically before
      November 8, 2021 (using the options outlined in the two bullets
      immediately above), you will receive virtual credit card payments with
      your EOPs effective November 8, 2021. Your office will receive
      notification for each payment via mail or fax. The notification will
      include a unique virtual credit card number, along with instructions for
      processing.
   
      
   
    * You may opt out of VCC by calling ECHO Health at 800-890-4124 or by
      visiting www.ECHOVcards.com .
   
      
   
    * Additional payment options: ECHO also offers payments via Medical Payment
      Exchange (delivers payments and EOPs electronically and gives you the
      option to print a check at no cost, receive a virtual card payment or
      enroll for EFT) or paper check. Explore more details about these options
      on ECHO Health’s platform.






QUESTIONS



Highmark Provider Service Center Contact Information

If you have questions regarding these changes or your current payment
selections, contact your Highmark Provider Account Liaison or the Highmark
Provider Service Center (information below).



REGIONPROFESSIONAL PROVIDERSFACILITIES Delaware 800-346-6262 800-346-6262
Pennsylvania – Western Region 800-547-3627 800-242-0514 Pennsylvania – Central/
Northeastern Regions 866-731-8080 866-803-3708 West Virginia 800-543-7822
800-543-7822


ECHO Health Contact Information

If you have questions regarding your payment options effective November 8, 2021,
or need to make any changes to your elections, please contact ECHO Health.



Provider Portalproviderpayments.com* Customer Service888-834-3511 EFT/ERA
Support 888-834-3511edi@echohealthinc.com Virtual Credit Card
Opt-Out800-890-4124



*As noted above, you will receive a letter from ECHO Health in October with your
unique registration code if you would like to change your payment election prior
to November.

Provider News, Issue 4, 2021   |   © 2021 Highmark Blue Shield

 



     
   

HOME ABOUT THIS NEWSLETTER CONTACT US LEGAL INFORMATION ARCHIVE MEDICAL POLICY
UPDATE NAVINET PROVIDER RESOURCE CENTER
General News Making Provider Access and Availiability a Priority in 2021
Childhood and Adolescent Immunizations added to CHIP Requirements for 2021
Reimbursement, Claims and Billing Watch for Updates to Highmark’s List of
Procedures Requiring Authorization Administrative News Notifications for
Providers
Quarterly Formulary Updates Available Online

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Cross and Blue Shield Association.