A newsletter for Highmark Blue Cross Blue Shield providers in western New York
Issue 2, February 2024
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
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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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