Short Takes: New UM Tool, Compression Stockings, and More

Expanded Credentialing Section: More Electronic Options

Starting June 1, 2023, the Credentialing section on the Highmark Blue Cross Blue Shield of Western New York (BCBSWNY) Provider Resource Center (PRC) will be expanding, offering additional electronic resources to streamline the credentialing process for professional and organizational providers.

The expanded Credentialing section will enable medical providers to complete multiple credentialing forms and processes electronically from one web location, while eliminating the need to fax or email multiple forms. To learn more, go here.


New Provider Data Maintenance Tool for Validating and Updating Directory Information

Beginning June 1, 2023, professional providers will be able to validate their Highmark Provider Directory information within the new Provider Data Maintenance (PDM) tool in NaviNet® in addition to the forms currently available, as required every 90 days.

The PDM tool will streamline the validation process by providing an easy-to-use electronic application to update, validate, and attest to the accuracy of your information in one application. PDM also indicates the last time your information was validated and the due date for the next validation deadline.

For more information, read the full story from last month’s Provider News.

 

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