A newsletter for Highmark Blue Cross Blue Shield providers in western New York
Issue 3, March 2024
For participating providers who are experiencing cash flow concerns due to an inability to submit claims, Highmark has launched a Funding Assistance Program
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“We understand that some smaller physician practices and other providers who have been affected by this cyber event have not been able to submit claims and are facing financial hardships,” said Kate Musler, Highmark senior vice president of Health Plan Risk Management and Provider Networks. “This assistance program will help those providers get through this disruption and will also help ensure that our members can continue to access care and utilize the benefits they deserve.”
Eligibility for assistance and amount of assistance will be determined based on a variety of factors including inability to use an alternate method to submit claims and current financial need.
Click here for more details and how to apply.
Highmark is also delaying the shutdown of our legacy provider portals, NaviNet® and HEALTHeNET (NY regions) — which were originally scheduled for decommissioning on March 29 — to April 26.
We understand that affected providers are focused on more pressing issues at this time. This extension will give facilities, organizations, and practices more time to fully train their staff and move transactions to Availity®.
Access to the Risk Manager analytics platform — which leverages Change Healthcare technology — has been disabled until further notice. As more information becomes available about the status of Risk Manager, we will share that with you via the Provider Resource Center and Availity portal.
Once the Change Healthcare cyber event has been resolved, you will need to create a separate username and password for Risk Manager to access it via Availity.
Best Practice and Pay for Performance and Pending Claims reports can be accessed via Provider Facing Analytics in Availity Payer Spaces.
Free live training hosted by Availity and Highmark trainers are being offered at the end of March. Click here to save your seat. (You must already be registered for the Availity portal to sign up.) You can also access recorded training courses and materials in the Availity Learning Center.
In addition, Availity has the following resources available for providers and their teams:
The Provider Resource Center (PRC) has a variety of resources regarding Availity and the transition to a new portal. From the left menu, click AVAILITY and then select:
Also, since June 2023, Provider News has been running monthly articles on the transition. We encourage you to sign up for our e-subscribe list to ensure you don’t miss important updates about Availity and many other topics.
You can access Provider News and our e-subscribe list by going to the PRC, selecting NEWSLETTERS/NOTICES and then clicking E-Subscribe For Publications And Notifications and/or Provider News.
