Provider News

A newsletter for Highmark Blue Cross Blue Shield providers in western New York

Issue 2, February 2024

Provider Directory Attestation

Provider Directory Attestation

IN THIS ISSUE:

General News
Portal Transition: New Claim Investigations in NaviNet Ending This Month
PT, OT, Chiro, and Home Health: Prior Auth Changes Occurring on April 1, 2024
UM for SNF, IRF, and Inpatient Hospice Being Integrated into Helion Arc
Annual HEDIS^® Medical Record Review Now Underway
March Is Colorectal Cancer Awareness Month – Educating and Screening Patients
Reference Guide of Highmark Member Programs for 2024
PrEP Guidelines for HIV Prevention
Short Takes: HEDIS Changes and MP S-123 Update
Reimbursement, Claims & Billing
New and Updated Reimbursement Policies
Administrative News
Quarterly Formulary Updates
Staying Up to Date with the Highmark Provider Manual

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TOP STORIES:

UM for SNF, IRF, and Inpatient Hospice Being Integrated into Helion Arc

Annual HEDIS Medical Record Review Now Underway

March Is Colorectal Cancer Awareness Month – Educating and Screening Patients

Reference Guide of Highmark Member Programs for 2024

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HOME ABOUT THIS NEWSLETTER CONTACT US LEGAL INFORMATION ARCHIVE AVAILITY HEALTHeNET PROVIDER RESOURCE CENTER

Directory Information – Here’s How to Attest

General News Portal Transition: New Claim Investigations in NaviNet Ending This Month PT, OT, Chiro, and Home Health: Prior Auth Changes Occurring on April 1, 2024 UM for SNF, IRF, and Inpatient Hospice Being Integrated into Helion Arc Annual HEDIS^® Medical Record Review Now Underway March Is Colorectal Cancer Awareness Month – Educating and Screening Patients Reference Guide of Highmark Member Programs for 2024 PrEP Guidelines for HIV Prevention Short Takes: HEDIS Changes and MP S-123 Update

Reimbursement, Claims & Billing New and Updated Reimbursement Policies

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

Highmark Blue Cross Blue Shield of Western New York is a trade name of Highmark Western and Northeastern New York Inc., an independent licensee of the Blue Cross Blue Shield Association.