Provider Training

These trainings are a great way to give current staff helpful information about Highmark policies, programs and procedures.

Provider Resource Center

Welcome Guide

Welcome Documentation

Member Rights & Responsibilities (Highmark Provider Manual Chapter 1, Unit 5)

NaviNet Self Service

Medicare Advantage and Part D - General Compliance Training and Combatting Fraud, Waste and Abuse Training

This training is a 4-step process. Please review each link in order. After Step 3, open the link for the Training Attestation.

Step 1: Highmark Training
Step 2: Medicare Parts C and D General Compliance Training
Step 3: Combating Medicare Parts C and D Fraud, Waste and Abuse
Step 4: Training Attestation
- Once you meet the program requirements, an authorized representative of your organization can complete and retain a copy of the attestation form above for your records.

Medicare Advantage Documentation

Informational Training and Documentation

Joint Administration Solutions (JAS) Reference Sheet

Last updated on 12/21/2022 2:10:23 PM

Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Highmark Western and Northeastern New York Inc., serves eight counties in Western New York under the trade name Highmark Blue Cross Blue Shield of Western New York and serves 13 counties in Northeastern New York under the trade name Highmark Blue Shield of Northeastern New York. Each of these companies is an independent licensee of the Blue Cross Blue Shield Association. Blue Cross, Blue Shield and the Blue Cross and Blue Shield symbols are registered marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration.

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Requiring Authorization

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