Joint Administration Model Coming to Western and Northeastern NY

Highmark is expanding our Joint Administration Solutions (JAS) model to include the Highmark Blue Cross Blue Shield of Western New York and Highmark Blue Shield of Northeastern New York service areas beginning January 1, 2023.

JAS will partner with Third Party Administrators (TPAs) to create a shared services network for self-funded clients within PPO Blue Products.

JAS is currently partnering with HealthNow Administrative Services (HNAS) for this network but will likely expand to other TPAs in the future.

What This Means for Providers

The phone numbers you call for help with prior authorizations, customer service, and provider services may be different than the number you use for other Highmark members. These numbers are available on the back of the member’s ID card as well as in NaviNet® .

Member ID cards for the JAS network will look different than other Highmark ID cards:

Front of the Card:

  • The TPA logo will typically appear in the bottom left corner.
  • The member ID number will ALWAYS have a 3-character prefix and 2-alpha characters followed by a 7-digit member number. The 3-character prefix and 2-character inflix will be a combination of the following options:

3-Character Prefix 2-Character Inflix
Highmark Blue Cross Blue Shield of Western New York J7J HA
J7N HC
Highmark Blue Shield of Northeastern New York J7L HB
J7E HD

Back of the Card:

  • The TPA website will usually be listed at the top right corner of the card.
  • The TPA customer service, prior authorization, and other relevant member phone numbers will be listed. Ensure you copy the back of the member’s ID card to direct members to the correct phone number for needed services.

 

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